Organization Active NPI

Cosette Standridge-Folsom DPM Inc

Doing business as Monterey Bay Podiatry

  • Podiatrist
  • Monterey, CA
National Provider Identifier
1891535761
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COSETTE STANDRIDGE-FOLSOM DPM INC
Doing business as
Monterey Bay Podiatry
Practice address
1011 Cass St Ste 201
Monterey, CA 93940-4532
Phone
(831) 648-1011
Fax
(831) 648-1034
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Sherri Lane
Title
Office Manager
Phone
(831) 648-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1011 Cass St Ste 201
Monterey, CA 93940-4532

Mailing address

1011 Cass St Ste 201
Monterey, CA 93940-4532
Phone (831) 648-1011

Other names 1

  • Monterey Bay Podiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730003306 CA Part B Supplier - Clinic/Group Practice 4688111362 Receives reassigned benefits from 4 practitioners
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

1011 Cass St
Ste 201
Monterey, CA 93940
Phone (408) 648-1011

Practitioners & affiliated clinicians

Practitioners 6

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": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1891535761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CASS ST STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404532",
            "telephone_number": "831-648-1011",
            "fax_number": "831-648-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CASS ST STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404532",
            "telephone_number": "831-648-1011",
            "fax_number": "831-648-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSETTE STANDRIDGE-FOLSOM DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-648-1011"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Bay Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.