SILICON VALLEY PODIATRY GROUP NPI 1174675508

NPI Information

SILICON VALLEY PODIATRY GROUP is a foot and ankle surgery podiatrist in San Jose, CA. SILICON VALLEY PODIATRY GROUP NPI is 1174675508. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Silicon Valley Podiatry Group.

The provider's business location address is:

2505 SAMARITAN DR STE 509
SAN JOSE, CA
ZIP 95124-015
Phone: (408) 358-2666
Fax: (408) 358-7974

The provider's authorized official is Maria Hernandez .
The authorized official title is Office Manager and has the following contact phone number (408) 358-2666.

The CLIA number assigned to this NPI record is 05D0916357 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/17/2007 and was last updated on 12/9/2020.

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:

Other Identifiers

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