NPIMap

Organization Active NPI

San Mateo Foot and Ankle Care Inc

  • Foot Surgery Podiatrist
  • San Mateo, CA
National Provider Identifier
1902340201
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E3347 Issued in CA
Legal business name
SAN MATEO FOOT AND ANKLE CARE INC
Practice address
101 S San Mateo Dr Ste 212
San Mateo, CA 94401-3843
Phone
(650) 342-5733
Fax
(650) 342-0525
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Kenneth Joseph Passeri, D.P.M.
Title
Presidant
Phone
(650) 342-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E3347 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 212
San Mateo, CA 94401-3843

Mailing address

101 S San Mateo Dr Ste 212
San Mateo, CA 94401-3843
Phone (650) 342-5733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1902340201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 212",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013843",
            "telephone_number": "650-342-5733",
            "fax_number": "650-342-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 212",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013843",
            "telephone_number": "650-342-5733",
            "fax_number": "650-342-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO FOOT AND ANKLE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "PASSERI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "650-342-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.