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DALY CITY PODIATRY GROUP NPI 1639125362


NPI Information

NPI: 1639125362
Provider Name: DALY CITY PODIATRY GROUP
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1800 SULLIVAN AVE
SUITE 106
DALY CITY, CA
ZIP 94015
Phone: (650) 755-3338
Get Directions

DALY CITY PODIATRY GROUP is a foot and ankle surgery podiatrist in Daly City, CA. DALY CITY PODIATRY GROUP NPI is 1639125362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 SULLIVAN AVE
SUITE 106
DALY CITY, CA
ZIP 94015-228
Phone: (650) 755-3338
Fax: (650) 755-7892

The provider's authorized official is Jessica Anne Meneses .
The authorized official title is Office Manager and has the following contact phone number (650) 755-3338.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 12/2/2009.


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
1ZZZ18471ZMEDICARE PINCALIFORNIA
2GRE001340MEDICAIDCALIFORNIA
34828010001MEDICARE 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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