Active NPI
Valley Podiatry Group Inc
- Podiatrist
- Stockton, CA
National Provider Identifier
1912919358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- VALLEY PODIATRY GROUP INC
- Practice address
- 3031 W March Lane
Suite 310
Stockton, CA 95219-6500 - Phone
- (209) 472-0800
- Fax
- (209) 472-1203
- NPI assigned
- Aug 13, 2006
- 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
- Kenneth K Shimozaki, DPM
- Title
- Ceo
- Phone
- (209) 472-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
3031 W March Lane
Suite 310
Stockton, CA 95219-6500
Mailing address
3031 W March Lane
Suite 310
Stockton, CA 95219-6500
Phone (209) 472-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRE001670 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
730 Spaans Dr
Ste B
Galt, CA 95632
Phone (209) 744-4366
3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Stockton, CA
- NPI 1902914963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1912919358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 W MARCH LANE",
"address_2": "SUITE 310",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952196500",
"telephone_number": "209-472-0800",
"fax_number": "209-472-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 W MARCH LANE",
"address_2": "SUITE 310",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952196500",
"telephone_number": "209-472-0800",
"fax_number": "209-472-1203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PODIATRY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "SHIMOZAKI",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-472-0800",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GRE001670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
- Valley MRI Center
- Valley Optometric Care
- Valley Optometry PC
- Valley Perinatal & Genetic Diagnostic Center Medical Group, Inc.
- Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc.
- Valley Registered Dietitian Network
- Valley Scripts
- Valley Scripts
- Valley Sleep Disorders Center of San Andreas Medical Group L.P.
- Valley Transport Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.