Organization Active NPI

Kaveh Akhbari DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Gilroy, CA
National Provider Identifier
1861936205
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KAVEH AKHBARI DPM PC
Practice address
80 5TH St
Gilroy, CA 95020-5702
Phone
(408) 842-0281
Fax
(408) 848-4341
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Kaveh Akhbari, DPMNPI 1144541764
Title
Owner
Phone
(408) 842-0281

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X CA
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X CA Primary

Addresses

Primary practice location

80 5TH St
Gilroy, CA 95020-5702

Mailing address

80 5TH St
Gilroy, CA 95020-5702
Phone (408) 842-0281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110001914 CA Part B Supplier - Clinic/Group Practice 1153602917 Receives reassigned benefits from 1 practitioner
Practice locations: Gilroy, CA

National Provider Directory

National Provider Directory

Locations

80 5th St
Gilroy, CA 95020
Phone (408) 659-7300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1861936205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 5TH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205702",
            "telephone_number": "408-842-0281",
            "fax_number": "408-848-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205702",
            "telephone_number": "408-842-0281",
            "fax_number": "408-848-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVEH AKHBARI DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "AKHBARI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-842-0281",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.