Individual provider Active NPI

Anthony Errico, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Mateo, CA
National Provider Identifier
1992873905
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1434 Issued in CA
Practice address
101 S San Mateo Dr
Ste 212
San Mateo, CA 94401-3819
Phone
(650) 342-3537
Fax
(650) 991-2702
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E1434 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr
Ste 212
San Mateo, CA 94401-3819

Mailing address

6 Jasmine CT
Millbrae, CA 94030-1701
Phone (650) 991-2700

Other identifiers 1

IdentifierTypeStateIssuer
000E14341MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000622 CA Practitioner - Podiatry 4486764230 Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1992873905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JASMINE CT",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301701",
            "telephone_number": "650-991-2700",
            "fax_number": "650-991-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "STE 212",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-342-3537",
            "fax_number": "650-991-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRICO",
        "first_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E14341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.