SUMMIT PODIATRY GROUP NPI 1356418958

NPI Information

NPI: 1356418958
Provider Name: SUMMIT PODIATRY GROUP

Other Name: NONE

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
419 30TH ST
SUITE A
OAKLAND, CA
ZIP 94609
Phone: (510) 832-1818
Get Directions

SUMMIT PODIATRY GROUP is a primary podiatric medicine podiatrist in Oakland, CA. SUMMIT PODIATRY GROUP NPI is 1356418958. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is None.

The provider's business location address is:

419 30TH ST
SUITE A
OAKLAND, CA
ZIP 94609-301
Phone: (510) 832-1818
Fax: (510) 832-1818

The provider's authorized official is Karl Robert Coulter .
The authorized official title is Owner and has the following contact phone number (510) 832-1818.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/1/2007.

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
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	E1727	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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