Provider Type Icon

NORTH BAY FOOT AND ANKLE CLINIC INC NPI 1033284591


NPI Information

NPI: 1033284591
Provider Name: NORTH BAY FOOT AND ANKLE CLINIC, INC

Doing Business As: ADELINA B. STATEVA

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404
Phone: (707) 546-2107
Get Directions

NORTH BAY FOOT AND ANKLE CLINIC, INC is a foot and ankle surgery podiatrist in Santa Rosa, CA. NORTH BAY FOOT AND ANKLE CLINIC, INC NPI is 1033284591. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adelina B. Stateva.

The provider's business location address is:

1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404-329
Phone: (707) 546-2107
Fax: (707) 573-0315

The provider's authorized official is Adelina B Stateva .
The authorized official title is Ceo and has the following contact phone number (707) 546-2107.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/29/2010.


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 SurgeryE4562CALIFORNIAYes

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
1CD176AMEDICARE PINCALIFORNIA
26451730001MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.