Cupertino Podiatry Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4260 Issued in CA

Legal business name

CUPERTINO PODIATRY INC.

Doing business as

Cupertino Podiatry, Inc

Practice address

10353 Torre Ave
Suite C
Cupertino, CA 95014-3217

Phone

(408) 446-5811

Fax

(408) 996-1637

NPI assigned

Aug 17, 2009

Organization subpart

Yes

Parent organization

PNC MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Dr. Alexander Reyzelman, DPM

Title

Cmo

Phone

(415) 292-0638

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cupertino Podiatry, Inc Doing business as

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1942432505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 LOS GATOS BLVD STE 4",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322028",
            "telephone_number": "408-358-6234",
            "fax_number": "408-358-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10353 TORRE AVE",
            "address_2": "SUITE C",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143217",
            "telephone_number": "408-446-5811",
            "fax_number": "408-996-1637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Carlton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322629",
            "country_code": "US",
            "telephone_number": "408-358-6234",
            "fax_number": "408-358-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUPERTINO PODIATRY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PNC MANAGEMENT LLC",
        "enumeration_date": "2009-08-17",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942432505",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CD479A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cupertino Podiatry, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cupertino Village Optometry, Apc
• Cupertino-Center Acupuncture
• Franelia G Curaming, D.C.
• Joanna Curiel

• Foot & Ankle Surgery Podiatrist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.