Northern California Podiatry Associates, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E4045 Issued in CA

Legal business name

NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC.

Practice address

1041 4TH St
Suite B
Santa Rosa, CA 95404-4329

Phone

(707) 546-2107

Fax

(707) 573-0315

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emiliza Ngo Tan, DPM

Title

Ceo

Phone

(707) 546-2107

Specialties & licenses 1

Addresses

Other names 1

• Emiliza N. Tan Doing business as

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1982742250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 4TH ST",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "707-546-2107",
            "fax_number": "707-573-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 4TH ST",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "707-546-2107",
            "fax_number": "707-573-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "EMILIZA",
        "authorized_official_middle_name": "NGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-546-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emiliza N. Tan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern California Medical Assoc Inc
• Northern California Medical Assoc Inc
• Northern California Medical Assoc Inc
• Northern California Medical Assoc Inc
• Northern California Minimally Invasive Cardiovascular Surgery Inc
• Rebecca Norwick, NP
• Kalela Christina Nosker
• Dora Rose Noton
• Selena Nourigna
• Alicia Nourse, MFT

• Foot Surgery Podiatrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.