Mark Edward Wolpa, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E1852 Issued in CA

Practice address

3000 Colby St Ste 104
Berkeley, CA 94705-2090

Phone

(510) 849-3800

Fax

(510) 849-3810

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Berkeley Foot Clinic Podiatry Group a Professional Corporation

  • Preferred Provider Organization
  • Berkeley, CA
  • NPI 1639472301
  Authorized official Same address or phone
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1871695411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052090",
            "telephone_number": "510-849-3800",
            "fax_number": "510-849-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052090",
            "telephone_number": "510-849-3800",
            "fax_number": "510-849-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPA",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Wolf, RD, CNSC
• Lily Wolff, L.C.S.W.
• Sarah Wolfman-Robichaud, DOULA
• Abby Wolfson, PH.D.
• Aviva Wolman, MA
• Women's Therapy Center
• Amy R Wong
• Andy Wong
• Bryan M Wong, MD
• Candice C Wong, M.D., PH.D.

• Foot & Ankle Surgery Podiatrist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.