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DR. GODFREY FREDERICK MIX D.P.M. NPI 1780609974


NPI Information

NPI: 1780609974
Provider Name: DR. GODFREY FREDERICK MIX, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
5025 J ST
SUITE 316
SACRAMENTO, CA
ZIP 95819
Phone: (916) 732-2277
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DR. Godfrey Frederick Mix, D.P.M. is a podiatrist in Sacramento, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Godfrey Frederick Mix, D.P.M. NPI is 1780609974. 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:

5025 J ST
SUITE 316
SACRAMENTO, CA
ZIP 95819-839
Phone: (916) 732-2277
Fax: (916) 732-2280

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/8/2008.


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
1213E00000XPodiatristE1227CALIFORNIAYes

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
1T10840MEDICARE UPINCALIFORNIA
2000E12270MEDICARE PINCALIFORNIA

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

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.