Alexander Reyzelman, DPM, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ALEXANDER REYZELMAN, DPM, INC.

Practice address

750 Las Gallinas Ave Ste 115
San Rafael, CA 94903-3431

Phone

(415) 472-5575

NPI assigned

Jun 6, 2019

Organization subpart

Yes

Parent organization

ALEXANDER REYZELMAN, DPM, INC.As reported in NPPES

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

Authorized official

Name

Rozana Reyzelman

Title

Delegated Official

Phone

(415) 680-0871

Specialties & licenses 1

Addresses

Part of

Alexander Reyzelman DPM Inc

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1851950695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473",
            "telephone_number": "415-680-0871",
            "fax_number": "415-292-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 115",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033431",
            "telephone_number": "415-472-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ROZANA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "415-680-0871"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in San Rafael, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.