CUPERTINO PODIATRY INC. NPI 1942432505

NPI Information

NPI: 1942432505
Provider Name: CUPERTINO PODIATRY INC.

Doing Business As: CUPERTINO PODIATRY, INC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10353 TORRE AVE
SUITE C
CUPERTINO, CA
ZIP 95014
Phone: (408) 446-5811
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CUPERTINO PODIATRY INC. is a foot and ankle surgery podiatrist in Cupertino, CA. CUPERTINO PODIATRY INC. NPI is 1942432505. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cupertino Podiatry, Inc.

The provider's business location address is:

10353 TORRE AVE
SUITE C
CUPERTINO, CA
ZIP 95014-217
Phone: (408) 446-5811
Fax: (408) 996-1637

The provider's authorized official is Alexander Reyzelman .
The authorized official title is Cmo and has the following contact phone number (415) 292-0638.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 8/10/2021.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4260	CALIFORNIA	Yes

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
1	1942432505	MEDICAID	CALIFORNIA
2	CD479A	MEDICAID	CALIFORNIA

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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