North Coast Podiatry

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

NORTH COAST PODIATRY

Practice address

3798 Janes Rd Ste 9
Arcata, CA 95521-4745

Phone

(707) 599-8677

Fax

(707) 559-8176

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Timothy Breen, DPMNPI 1467574616

Title

DPM/President

Phone

(707) 599-8677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph T. Breen, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Arcata, CA
  • NPI 1467574616
  Medicare reassignment Authorized official
• Robert Charles Lyell, MD

  • Orthopaedic Surgery Physician
  • Arcata, CA
  • NPI 1487751749
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1861058737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-599-8677",
            "fax_number": "707-559-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 9",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-599-8677",
            "fax_number": "707-559-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "DPM/PRESIDENT",
        "authorized_official_telephone_number": "707-599-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee Rae Norgaard, LMFT
• North Bay Radiology Medical Group, Inc.
• North Coast ENT Associates Inc
• North Coast Orthopaedics
• North Coast Orthopaedics & Sports Medicine
• North Jetty Hospitalists Inc a Medical Corporation
• North Pacific Cardiology Medical
• North Pacific Cardiology Medical Group
• Northcoast Anesthesia Providers Inc
• Northcoast Internal Medicine, a Medical Corporation

• Podiatric Clinic/Center in Arcata, CA
• Providers in Arcata, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.