Provider Type Icon

FAIRMOUNT PODIATRY GROUP NPI 1568772820


NPI Information

NPI: 1568772820
Provider Name: FAIRMOUNT PODIATRY GROUP
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
7524 FAIRMOUNT AVE
EL CERRITO, CA
ZIP 94530
Phone: (510) 526-4244
Get Directions

FAIRMOUNT PODIATRY GROUP is a foot surgery podiatrist in El Cerrito, CA. FAIRMOUNT PODIATRY GROUP NPI is 1568772820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7524 FAIRMOUNT AVE
EL CERRITO, CA
ZIP 94530-746
Phone: (510) 526-4244
Fax: (510) 526-9251

The provider's authorized official is Darlene Jo Fahmie .
The authorized official title is Provider and has the following contact phone number (510) 526-4266.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 4/4/2012.


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
1213ES0131XPodiatristFoot SurgeryE3401CALIFORNIAYes

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
1T11676MEDICARE UPINCALIFORNIA
2T11682MEDICARE UPINCALIFORNIA
35097060001MEDICARE 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.