Organization Active NPI

Propel Foot and Ankle Institute

  • Podiatrist
  • Oakland, CA
National Provider Identifier
1912442435
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5074 Issued in CA
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

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Ajitha Karunakaran Nair, DPM, MPHNPI 1245544873
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20171207002221 CA Part B Supplier - Clinic/Group Practice 8921365438 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.