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VALE ROAD PODIATRY NPI 1124791553


NPI Information

NPI: 1124791553
Provider Name: VALE ROAD PODIATRY
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2089 VALE RD STE 12
SAN PABLO, CA
ZIP 94806
Phone: (510) 232-0892
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VALE ROAD PODIATRY is a foot and ankle surgery podiatrist in San Pablo, CA. VALE ROAD PODIATRY NPI is 1124791553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2089 VALE RD STE 12
SAN PABLO, CA
ZIP 94806-848
Phone: (510) 232-0892
Fax: (510) 234-5951

The provider's authorized official is Jon-paul Seslar .
The authorized official title is Foot & Ankle Surgeon and has the following contact phone number (510) 232-0892.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 7/30/2021.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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
11598259509OTHERNPI
21760410195OTHERNPI

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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