NAPA SOLANO FOOT AND ANKLE (NPI# 1174949226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174949226 |
| Entity Type | Organization |
| Organization Name | NAPA SOLANO FOOT AND ANKLE |
| Practice Address |
1460 N Camino Alto Suite 101 Vallejo CA 94589-2567 |
| Practice Telephone | 7076444049 |
| Practice Fax Number | 7076444687 |
| Mailing Telephone | 7076444049 |
| Mailing Fax Number | 7076444687 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | SKY SHANKS (CEO) |
| Authorized Official Telephone | 4156086469 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
1460 N CAMINO ALTO SUITE 101 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245207489 | Robert Lawrence Freinkel | Allergy & Immunology | 1460 N Camino Alto, Vallejo, CA 94589-2567 | 2006-03-07 |
| 1346613445 | John Muir Physician Network | Internal Medicine | 1460 N Camino Alto, #201, Vallejo, CA 94589-2567 | 2015-11-11 |
| 1811336258 | Adventist Health Physicians Network | Internal Medicine | 1460 N Camino Alto, Suite 111, Vallejo, CA 94589-2567 | 2013-06-19 |
| 1821224510 | North Bay Custom Care Pharmacy Inc | Pharmacy | 1460 N Camino Alto, Suite 101, Vallejo, CA 94589-2567 | 2009-06-08 |
| 1346496213 | Ruben S. Velasquez, M.d., Inc. | Internal Medicine | 1460 N Camino Alto, Suite 106, Vallejo, CA 94589-2567 | 2008-08-12 |
| 1528180205 | Voltaire S Velarde Md Inc | Internal Medicine | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | 2007-04-04 |
| 1144340555 | Roberto I Barut | Dentist | 1460 N Camino Alto, #204, Vallejo, CA 94589-2567 | 2007-03-30 |
| 1831232784 | Antonio R Tanpoco, Md, Inc | Obstetrics & Gynecology | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | 2007-02-14 |
| 1538243340 | Voltaire Velarde | Internal Medicine | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | 2006-10-25 |
| 1659451854 | Ruben San Diego Velasquez | Internal Medicine | 1460 N Camino Alto, Suite 106, Vallejo, CA 94589-2567 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467845065 | Vallejo Foot & Ankle Clinic | Podiatrist | 480 Redwood St Ste 10, Vallejo, CA 94590-2958 | 2015-03-06 |
| 1588126288 | Caroline J Ko | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-04-02 |
| 1669836763 | Stephanie Mita | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2016-04-05 |
| 1235511627 | Stephen Haynam | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2015-06-23 |
| 1346657327 | Nicholas Gan Tan | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-07-22 |
| 1467868885 | Kyle Willson | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-07-07 |
| 1245526326 | Ninveh Omlin | Podiatrist | 975 Sereno Dr., Vallejo, CA 94589-2485 | 2011-06-27 |
| 1902117575 | Daphne Shienmei Yen-douangmala | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2010-06-28 |
| 1609187392 | Ryan Christian Thomas | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2010-06-28 |
| 1730350422 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2008-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.