JAY MUKKER DPM INC NPI 1962722983

NPI Information

  • NPI: 1962722983
  • Provider Name: JAY MUKKER DPM INC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 7210 N MILBURN AVE
    SUITE 101
    FRESNO, CA
    ZIP 93722
  • Phone: (559) 224-5101

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NPI Details

JAY MUKKER DPM INC is a foot and ankle surgery podiatrist in Fresno, CA. JAY MUKKER DPM INC NPI is 1962722983. The provider is registered as an organization entity type.

The provider's business location address is:

7210 N MILBURN AVE
SUITE 101
FRESNO, CA
ZIP 93722-022
Phone: (559) 224-5101
Fax: (559) 224-4396

The provider's authorized official is Jay Mukker .
The authorized official title is Owner and has the following contact phone number (559) 224-5101.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/6/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentE46560CALIFORNIANo
2335E00000XProsthetic/Orthotic SupplierE46560CALIFORNIANo
3332B00000XDurable Medical Equipment & Medical SuppliesE46560CALIFORNIANo
4213ES0103XPodiatristFoot & Ankle SurgeryE4656CALIFORNIAYes

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
1000E46560MEDICARE PINCALIFORNIA
2V11924MEDICARE UPINCALIFORNIA
36389800001MEDICARE NSCCALIFORNIA
4000E46560MEDICAIDCALIFORNIA
51962722983MEDICARE 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: 3/30/2025

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