NPIMap

Organization Active NPI

Bay Area Foot Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • Folsom, CA
National Provider Identifier
1851161012
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAY AREA FOOT CARE, INC
Practice address
1580 Creekside Dr Ste 100
Folsom, CA 95630-3887
Phone
(916) 961-3434
Fax
(916) 961-0540
NPI assigned
Jan 8, 2024
Organization subpart
Yes
Parent organization
BAY AREA FOOT CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Alexander Reyzelman, DPM
Title
Regional Chief Medical Officer
Phone
(415) 292-0638

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1580 Creekside Dr Ste 100
Folsom, CA 95630-3887

Mailing address

20130 Lake Chabot Rd Ste 202
Castro Valley, CA 94546-5340
Phone (510) 581-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223002617 CA DME Supplier - Physician - Podiatry 0345329686 Practice locations: Folsom, CA

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Foot Care Inc47 organizations share this tax ID, including this one
Part of
Bay Area Foot Care Inc

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1851161012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT RD STE 202",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465340",
            "telephone_number": "510-581-1484",
            "fax_number": "510-581-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303887",
            "telephone_number": "916-961-3434",
            "fax_number": "916-961-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA FOOT CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA FOOT CARE, INC",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "REGIONAL CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.