Active NPI
James William Stavosky, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Daly City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3238
- Practice address
- 1800 Sullivan Ave
Suite 106
Daly City, CA 94015-2228 - Phone
- (650) 755-3338
- Fax
- (650) 755-7892
- NPI assigned
- May 23, 2006
- Last updated
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3238 | CA | Primary |
Addresses
Primary practice location
1800 Sullivan Ave
Suite 106
Daly City, CA 94015-2228
Mailing address
1201 Vancouver Ave
Burlingame, CA 94010-5669
Phone (650) 348-8466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1800 Sullivan Ave
Daly City, CA 94015-2224
Phone (650) 755-3338
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 285 |
| Removal of nail tissue | 191 |
| Removal or shaving of skin growth | 109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3238 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 3238 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Stavosky DPM | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1800 Sullivan Ave
Rm 401
Daly City, CA 94015
Phone (650) 755-3338
1500 Southgate Ave
Ste 115
Daly City, CA 94015
Phone (650) 991-4466
1800 Sullivan Ave
Rm 106
Daly City, CA 94015
Phone (650) 301-0500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Daly City, CA
- NPI 1639125362
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center ,Seton Medical Center Coastside
- General Acute Care Hospital
- Daly City, CA
- NPI 1023636545
-
dba Seton Medical Center, Seton Medica Center Coastside
- Psychiatric Hospital Unit
- Daly City, CA
- NPI 1639797855
-
- Home Health Agency
- Burlingame, CA
- NPI 1073769543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1871548271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 VANCOUVER AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940105669",
"telephone_number": "650-348-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SULLIVAN AVE",
"address_2": "SUITE 106",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152228",
"telephone_number": "650-755-3338",
"fax_number": "650-755-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVOSKY",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.