NPIMap

Organization Active NPI

Tri City Podiatry Clinic

  • Foot Surgery Podiatrist
  • Fremont, CA
National Provider Identifier
1861548505
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2644 Issued in CA
Legal business name
TRI CITY PODIATRY CLINIC
Practice address
37138 Niles Blvd Ste a
Fremont, CA 94536-1616
Phone
(510) 795-7099
Fax
(510) 795-1978
NPI assigned
Jan 26, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Jorge E Alaniz, DPMNPI 1487726394
Title
Podiatrist Owner
Phone
(510) 795-7099

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E2644 CA Primary

Addresses

Primary practice location

37138 Niles Blvd Ste a
Fremont, CA 94536-1616

Mailing address

37138 Niles Blvd Ste a
Fremont, CA 94536-1616
Phone (510) 795-7099

Other identifiers 3

IdentifierTypeStateIssuer
OOOE26440MedicaidCA
ZZZ86159ZOtherCABLUE CROSS
ZZZ86159ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

37138 Niles Blvd
Ste A
Fremont, CA 94536
Phone (510) 795-7099

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1861548505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37138 NILES BLVD STE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361616",
            "telephone_number": "510-795-7099",
            "fax_number": "510-795-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37138 NILES BLVD STE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361616",
            "telephone_number": "510-795-7099",
            "fax_number": "510-795-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY PODIATRY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "ALANIZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PODIATRIST  OWNER",
        "authorized_official_telephone_number": "510-795-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOOE26440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ86159Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ86159Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.