NORTHERN CALIFORNIA PODIATRY ASSOCIATES INC. NPI 1982742250

NPI Information

NPI: 1982742250
Provider Name: NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC.

Doing Business As: EMILIZA N. TAN

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404
Phone: (707) 546-2107
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NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC. is a foot surgery podiatrist in Santa Rosa, CA. NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC. NPI is 1982742250. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Emiliza N. Tan.

The provider's business location address is:

1041 4TH ST
SUITE B
SANTA ROSA, CA
ZIP 95404-329
Phone: (707) 546-2107
Fax: (707) 573-0315

The provider's authorized official is Emiliza Ngo Tan .
The authorized official title is Ceo and has the following contact phone number (707) 546-2107.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 3/14/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	E4045	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	ZZZ03558Z	MEDICARE PIN	CALIFORNIA
2	5464070001	MEDICARE NSC	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: 4/28/2024

NPI Synchronization or Removal

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