Provider Type Icon

STEP UP PODIATRY PROFESSIONAL CORPORATION NPI 1902280928


NPI Information

NPI: 1902280928
Provider Name: STEP UP PODIATRY PROFESSIONAL CORPORATION
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1350 MEDICAL CENTER DR
STE B
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 586-9300
Get Directions

STEP UP PODIATRY PROFESSIONAL CORPORATION is a foot and ankle surgery podiatrist in Rohnert Park, CA. STEP UP PODIATRY PROFESSIONAL CORPORATION NPI is 1902280928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1350 MEDICAL CENTER DR
STE B
ROHNERT PARK, CA
ZIP 94928-932
Phone: (707) 586-9300

The provider's authorized official is Thomas Michael Fitzgerald .
The authorized official title is Owner and has the following contact phone number (707) 586-9300.

The enumeration date for this NPI number is 7/20/2015 and was last updated on 7/20/2015.


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
1213ES0103XPodiatristFoot & Ankle SurgeryE34090CALIFORNIAYes

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.