Organization Active NPI

Associated Podiatry Group of San Carlos

  • Podiatrist
  • San Carlos, CA
National Provider Identifier
1932290178
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3224 Issued in CA
Legal business name
ASSOCIATED PODIATRY GROUP OF SAN CARLOS
Practice address
961 Laurel St
Suite 100
San Carlos, CA 94070-3949
Phone
(650) 593-8083
Fax
(650) 593-9145
NPI assigned
Sep 27, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Curtis D. Leviant, D.P.M.NPI 1336230127
Title
President
Phone
(650) 593-8083

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3224 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X E3224 CA

Addresses

Primary practice location

961 Laurel St
Suite 100
San Carlos, CA 94070-3949

Mailing address

961 Laurel St
Suite 100
San Carlos, CA 94070-3949
Phone (650) 593-8083

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ11218ZOtherCAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001628 CA Part B Supplier - Clinic/Group Practice 1658354170 Receives reassigned benefits from 3 practitioners
Practice locations: San Carlos, CA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1932290178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 LAUREL ST",
            "address_2": "SUITE 100",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703949",
            "telephone_number": "650-593-8083",
            "fax_number": "650-593-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 LAUREL ST",
            "address_2": "SUITE 100",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703949",
            "telephone_number": "650-593-8083",
            "fax_number": "650-593-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PODIATRY GROUP OF SAN CARLOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "LEVIANT",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-593-8083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3224",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E3224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ11218Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.