SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.


Address: 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024
Phone: 9417764822

SOUTH BAY FOOT & ANKLE SPECIALISTS, INC. (NPI# 1649884610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649884610
Entity Type Organization
Organization Name SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.
Practice Address 5565 Grossmont Center Dr Ste 510
La Mesa
CA 91942-3024
Mailing Address 345 F St Ste 100
Chula Vista
CA 91910-2632
Practice Telephone 9417764822
Mailing Telephone 6194273481
Enumeration Date 2020-09-07
Last Update Date 2020-09-07
Authorized Official Name JOHN ANGUS CHISHOLM (PRESIDENT)
Authorized Official Telephone 6194273481
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LIABILITY INSURANCE BZS56322222 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205342805 South Bay Foot & Ankle Specialists, Inc. Podiatrist 610 Euclid Ave Ste 301, National City, CA 91950-2953 2017-12-18
1689041055 South Bay Foot & Ankle Specialists, Inc. Podiatrist 345 F St, Ste 100, Chula Vista, CA 91910-2626 2015-09-01

Office Location

Street Address 5565 GROSSMONT CENTER DR STE 510
City LA MESA
State CA
Zip Code 91942-3024

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453723 Nicole V Zappelli Case Manager/Care Coordinator 4990 William Ave., La Mesa, CA 91942 2019-08-26
1770059834 Natalie Ngoc Nguyen Physician Assistant 5555 Grosmont Center Dr., La Mesa, CA 91942 2018-10-16
1194204297 Courtney Pietsch Nurse Practitioner 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 2018-08-09
1295214773 Megan Gordon Behavior Technician 6116 Horton Dr, La Mesa, CA 91942 2018-08-07
1356836548 Kimberly Denise Davis Counselor 3845 Avocado School Road, El Cajon, CA 91942 2018-06-29
1366932113 Melanie Joyce Shepard Physician Assistant 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 2018-05-17
1871013532 Low Dental, A.p.c. Public Health or Welfare 7872 La Mesa Blvd., La Mesa, CA 91942 2017-06-23
1275069437 Ardel Ayala Respiratory Therapist, Registered 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 2017-05-10
1285007583 Counseling & Behavioral Specialists Marriage & Family Therapist 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 2015-11-09
1285001875 Emily Shozaki Rizo Nurse Practitioner 6285 Meadowcrest Drive, La Mesa, CA 91942 2015-08-31
Find all providers in zip 91942

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780003251 Always There Mobile Physicians, Inc. Podiatrist 7317 El Cajon Blvd, 201f, La Mesa, CA 91942-7434 2014-04-14
1689809840 Dan B Tarango D P M Inc Podiatrist 8875 La Mesa Blvd, Suite A, La Mesa, CA 91941-5100 2009-05-18
1093998965 Melchior P. Vallone Podiatrist 5129 Garfield St, La Mesa, CA 91941-5103 2007-12-13
1972614501 Curt S Thomas Podiatrist 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 2006-08-31
1134237605 Larry Ray Kroepel Podiatrist 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 2006-08-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811512866 Ankle & Foot Care Center Inc Podiatrist 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 2020-06-15
1912528928 Clement Podiatry PC Podiatrist 505 Sansome St Ste 850, San Francisco, CA 94111-3114 2020-04-30
1942834775 Felix Sigal Dpm A Professional Corporation Podiatrist 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 2020-03-02
1033758339 Yosemite Bone and Joint Inc Podiatrist 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 2020-01-03
1194361634 K David Flora Dpm Inc Podiatrist 1086 N Cherry St, Tulare, CA 93274-2251 2019-11-19
1902457963 Silverlake Virgil Surgery Center Podiatrist 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 2019-09-21
1134778178 Mohamad Belal Sharif Podiatrist Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 2019-09-11
1972159366 Bay Area Surgical Specialists Inc A Medical Corporation Podiatrist 6061 N 1st St Ste 103, Fresno, CA 93710-5470 2019-08-13
1790331189 Bay Area Surgical Specialists Inc A Medical Corporation Podiatrist 774 N Prospect St Ste B, Porterville, CA 93257-1941 2019-08-13
1003477167 Comprehensive Podiatric Care Inc Podiatrist 1317 5th St Ste 300, Santa Monica, CA 90401-1433 2019-06-27
Find all providers with the same taxonomy

Competitor

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City LA MESA
Zip Code 91942

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Dataset Information

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.

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