Active NPI
Eric W Nelson, D.P.M.
- Podiatrist
- San Leandro, CA
National Provider Identifier
1902899263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2453
- Practice address
- 13847 E 14TH St
Ste 210
San Leandro, CA 94578-2632 - Phone
- (510) 351-7552
- Fax
- (510) 351-6009
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2453 | CA | Primary |
Addresses
Primary practice location
13847 E 14TH St
Ste 210
San Leandro, CA 94578-2632
Mailing address
13847 E 14TH St
Ste 210
San Leandro, CA 94578-2632
Phone (510) 351-7552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2453 | CA | MD | Perinatal Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1902899263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13847 E 14TH ST",
"address_2": "STE 210",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782632",
"telephone_number": "510-351-7552",
"fax_number": "510-351-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13847 E 14TH ST",
"address_2": "STE 210",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782632",
"telephone_number": "510-351-7552",
"fax_number": "510-351-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ERIC",
"middle_name": "W",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.