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STEVEN I. SUBOTNICK DPMMS A PROFESSIONAL CORPORATION NPI 1093986887


NPI Information

NPI: 1093986887
Provider Name: STEVEN I. SUBOTNICK, DPM,MS A PROFESSIONAL CORPORATION
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
13690 E 14TH ST
SUITE 220
SAN LEANDRO, CA
ZIP 94578
Phone: (510) 614-5633
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STEVEN I. SUBOTNICK, DPM,MS A PROFESSIONAL CORPORATION is a primary podiatric medicine podiatrist in San Leandro, CA. STEVEN I. SUBOTNICK, DPM,MS A PROFESSIONAL CORPORATION NPI is 1093986887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13690 E 14TH ST
SUITE 220
SAN LEANDRO, CA
ZIP 94578-582
Phone: (510) 614-5633
Fax: (510) 614-2286

The provider's authorized official is Janice Subotnick .
The authorized official title is Office Manager and has the following contact phone number (510) 614-5633.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 1/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineE1340CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T10901MEDICARE UPINCALIFORNIA
21076360001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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