Organization Active NPI

Footcare Specialists Inc

  • Prosthetic/Orthotic Supplier
  • San Mateo, CA
National Provider Identifier
1831394808
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
E2575 Issued in CA
Legal business name
FOOTCARE SPECIALISTS INC
Practice address
39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2885
Phone
(650) 343-7775
Fax
(650) 343-3954
NPI assigned
Jun 19, 2007
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David J KaplanNPI 1639118185
Title
Ceo
Phone
(650) 343-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X E2575 CA Primary

Addresses

Primary practice location

39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2885

Mailing address

39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2885
Phone (650) 343-7775

Other identifiers 1

IdentifierTypeStateIssuer
GRE000870MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1831394808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE # 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-343-7775",
            "fax_number": "650-343-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE # 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-343-7775",
            "fax_number": "650-343-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-343-7775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "E2575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.