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VALLEJO FOOT & ANKLE CLINIC NPI 1467845065


NPI Information

NPI: 1467845065
Provider Name: VALLEJO FOOT & ANKLE CLINIC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
480 REDWOOD ST STE 10
VALLEJO, CA
ZIP 94590
Phone: (707) 643-3687
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VALLEJO FOOT & ANKLE CLINIC is a foot and ankle surgery podiatrist in Vallejo, CA. VALLEJO FOOT & ANKLE CLINIC NPI is 1467845065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

480 REDWOOD ST STE 10
VALLEJO, CA
ZIP 94590-958
Phone: (707) 643-3687
Fax: (707) 643-3077

The provider's authorized official is Paul D Weiner .
The authorized official title is Podiatrist and has the following contact phone number (707) 643-3687.

The enumeration date for this NPI number is 3/6/2015 and was last updated on 3/6/2015.


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 SurgeryE38800CALIFORNIAYes

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
1U56586MEDICARE UPINCALIFORNIA

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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