Active NPI
Propel Foot and Ankle Institute
- Podiatrist
- Oakland, CA
National Provider Identifier
1912442435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5074
- Legal business name
- PROPEL FOOT AND ANKLE INSTITUTE
- Practice address
- 2961 Summit St Ste B
Oakland, CA 94609-3482 - Phone
- (510) 775-2431
- NPI assigned
- Dec 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ajitha Karunakaran Nair, DPM, MPH
- Title
- Chief Executive Officer
- Phone
- (415) 351-9889
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E5074 | CA | Primary |
Addresses
Primary practice location
2961 Summit St Ste B
Oakland, CA 94609-3482
Mailing address
2961 Summit St Ste B
Oakland, CA 94609-3482
Phone (510) 775-2431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2961 Summit St
Ste B
Oakland, CA 94609
Phone (415) 351-9889
3007 Telegraph Ave
Ste A
Oakland, CA 94609
Phone (510) 775-2431
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Oakland, CA
- NPI 1245544873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1912442435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 SUMMIT ST STE B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093482",
"telephone_number": "510-775-2431",
"fax_number": "415-367-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 SUMMIT ST STE B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093482",
"telephone_number": "510-775-2431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROPEL FOOT AND ANKLE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-20",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "NAIR",
"authorized_official_first_name": "AJITHA",
"authorized_official_middle_name": "KARUNAKARAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "415-351-9889",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM, MPH"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E5074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.