Organization Active NPI

Valley Podiatry Group Inc

  • Podiatrist
  • Stockton, CA
National Provider Identifier
1912919358
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Nov 19, 2007

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GRE001670MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.