Organization Active NPI

Foot Care Specialists, Inc a Podiatry Group

  • Podiatrist
  • San Mateo, CA
National Provider Identifier
1972690543
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2575 Issued in CA
Legal business name
FOOT CARE SPECIALISTS, INC A PODIATRY GROUP
Practice address
39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2832
Phone
(650) 343-7775
Fax
(650) 343-3954
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. David J Kaplan, DPMNPI 1639118185
Title
Chief Podiatrist
Phone
(650) 343-7775

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 E2575 CA Primary

Addresses

Primary practice location

39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2832

Mailing address

39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2832
Phone (650) 343-7775

Other identifiers 5

IdentifierTypeStateIssuer
902342OtherCAQME
GRE000870MedicaidCA
480020680OtherCAUMC PROVIDER NUMBER
5280028OtherCAMEDI-CAL PIN
E25750OtherCAPROFESSIONAL LICENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061024000649 CA Part B Supplier - Clinic/Group Practice 2769489301 Receives reassigned benefits from 1 practitioner
Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory

Locations

725 Main St
Half Moon Bay, CA 94019
Phone (650) 726-1200

1801 Rockland Rd
Wilmington, DE 19803
Phone (302) 651-4359

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972690543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE # 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012832",
            "telephone_number": "650-343-7775",
            "fax_number": "650-343-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE # 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012832",
            "telephone_number": "650-343-7775",
            "fax_number": "650-343-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE SPECIALISTS, INC A PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF PODIATRIST",
        "authorized_official_telephone_number": "650-343-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QME",
            "identifier": "902342",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMC PROVIDER NUMBER",
            "identifier": "480020680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN",
            "identifier": "5280028",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENCE",
            "identifier": "E25750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.