Central Valley Foot and Ankle Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4122 Issued in CA

Legal business name

CENTRAL VALLEY FOOT AND ANKLE INC

Practice address

116 N Akers St
Visalia, CA 93291-5121

Phone

(559) 636-3668

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Paul Mayo, DPMNPI 1811018534

Title

Podiatrist

Phone

(559) 636-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Central Valley Foot and Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
  • NPI 1396002887
  NPPES parent name

Practitioners 5

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

• Paul R. Mayo, D.P.M.

  • Podiatrist
  • Visalia, CA
  • NPI 1811018534
  Medicare reassignment Care Compare group NPD Authorized official
• Cherrelle L Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
  • NPI 1790190064
  Medicare reassignment Care Compare group NPD
• Kristopher Koelewyn, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1831661578
  Medicare reassignment NPD
• James E Teela, DPM

  • Podiatrist
  • Cutler, CA
  • NPI 1932111879
  Medicare reassignment NPD
• Kathan Dipak Shah, DPM

  • Podiatrist
  • Visalia, CA
  • NPI 1508363102
  NPD

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1902177751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-636-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-636-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W Putnam Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573269",
            "country_code": "US",
            "telephone_number": "559-636-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL VALLEY FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "559-636-3668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E4122",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945065",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central California Radiology Associates Inc
• Central Coast Medical Aesthetics Inc
• Central Valley Dental Implant
• Central Valley Dental Implant & Oral Surgery Institute II
• Central Valley Foot and Ankle Inc
• Central Valley in-Home Care LLC
• Central Valley Longterm Care Pharmacy, Inc.
• Central Valley Modern Medical Center Inc
• Central Valley Nephrology Associates
• Central Valley Recovery Services, Inc.

• Foot & Ankle Surgery Podiatrist in Visalia, CA
• Providers in Visalia, 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 Sep 15, 2022; 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.