RUSSELL WILLIAM PATE CPED NPI 1306691597

NPI Information

  • NPI: 1306691597
  • Provider Name: RUSSELL WILLIAM PATE, CPED
  • Classification: Pedorthist - 224L00000X
  • Entity Type: Individual
  • Address: 6483 SIERRA LN
    DUBLIN, CA
    ZIP 94568
  • Phone: (925) 820-0220

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NPI Details

Russell William Pate, CPED is a pedorthist in Dublin, CA. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Russell William Pate, CPED NPI is 1306691597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6483 SIERRA LN
DUBLIN, CA
ZIP 94568-797
Phone: (925) 820-0220

The enumeration date for this NPI number is 4/22/2024 and was last updated on 4/22/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224L00000XPedorthistYes

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: 11/21/2025

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