EAST BAY PODIATRY, PC (NPI# 1255961793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255961793 |
| Entity Type | Organization |
| Organization Name | EAST BAY PODIATRY, PC |
| Practice Address |
2485 High School Ave Ste 222 Concord CA 94520-1813 |
| Practice Telephone | 9256853117 |
| Mailing Telephone | 9256853117 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | DR. COLLEEN M KENNEY (PRESIDENT) |
| Authorized Official Telephone | 9256720100 |
| 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 |
2485 HIGH SCHOOL AVE STE 222 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811025471 | Mauricio Kuri | Surgery | 2485 High School Ave Ste 222, Concord, CA 94520-1813 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215085832 | Michael J Ryan Dpm Pa | Podiatrist | 492 Copperfield Blvd Ne, Concord, NC 28025-2404 | 2007-01-08 |
| 1689647596 | James Frederick Kirk | Podiatrist | 889 Bradley St, Concord, NC 28025-2979 | 2006-02-10 |
| 1972131068 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 492 Copperfield Blvd Ne, Concord, NC 28025-2404 | 2020-04-01 |
| 1649674607 | Instride Foot and Ankle Specialists,pllc | Podiatrist | 492 Copperfield Blvd Ne, Concord, NC 28025-2404 | 2014-10-20 |
| 1588918429 | Instride Foot and Ankle Specialists,pllc | Podiatrist | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | 2012-10-30 |
| 1790061026 | Affiliates In Podiatry, PC | Podiatrist | 102 Pleasant St, Concord, NH 03301 | 2011-11-01 |
| 1255581187 | Mass Assoc In Podiatry | Podiatrist | 290 Baker Ave, Ste. N104, Concord, MA 01742-2190 | 2008-09-29 |
| 1366513707 | Timothy Peter Shea | Podiatrist | 2485 High School Ave, Suite214, Concord, CA 94520-1819 | 2006-11-09 |
| 1487735494 | Cabarrus Podiatry Associates PC | Podiatrist | 851 Bradley St, Concord, NC 28025-2979 | 2006-10-17 |
| 1659462273 | John Albert Ambrosino | Podiatrist | 2485 High School Ave, Suite #123-east, Concord, CA 94520-1819 | 2006-09-27 |
| Find all providers in CONCORD | ||||
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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.