Organization Active NPI

Alexander Reyzelman, DPM, Inc.

  • Primary Podiatric Medicine Podiatrist
  • San Francisco, CA
National Provider Identifier
1871075168
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
ALEXANDER REYZELMAN, DPM, INC.
Practice address
1 Shrader St Ste 510
San Francisco, CA 94117-1034
Phone
(415) 759-2014
Fax
(415) 759-2015
NPI assigned
Sep 4, 2018
Organization subpart
Yes
Parent organization
ALEXANDER REYZELMAN, DPM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

1 Shrader St Ste 510
San Francisco, CA 94117-1034

Mailing address

2299 Post St Ste 205
San Francisco, CA 94115-3473
Phone (415) 292-0638

National Provider Directory

National Provider Directory
Part of
Alexander Reyzelman DPM Inc

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1871075168",
    "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": "415-292-0638",
            "fax_number": "415-292-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 510",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171034",
            "telephone_number": "415-759-2014",
            "fax_number": "415-759-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "enumeration_date": "2018-09-04",
        "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": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • 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.