PACIFIC POINT PODIATRY INC NPI 1679051932

NPI Information

  • NPI: 1679051932
  • Provider Name: PACIFIC POINT PODIATRY INC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 243 GREEN VALLEY RD STE A
    FREEDOM, CA
    ZIP 95019
  • Phone: (831) 288-3400

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NPI Details

PACIFIC POINT PODIATRY INC is a primary podiatric medicine podiatrist in Freedom, CA. PACIFIC POINT PODIATRY INC NPI is 1679051932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

243 GREEN VALLEY RD STE A
FREEDOM, CA
ZIP 95019-133
Phone: (831) 288-3400
Fax: (877) 345-6920

The provider's authorized official is Tea Nguyen .
The authorized official title is Ceo/owner and has the following contact phone number (831) 708-1110.

The enumeration date for this NPI number is 7/30/2018 and was last updated on 2/17/2020.

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
1213EP1101XPodiatristPrimary Podiatric Medicine5256Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11811282494OTHERINDIVIDUAL

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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