SAN DIEGO FOOT & ANKLE, INC (NPI# 1295249902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295249902 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO FOOT & ANKLE, INC |
| Practice Address |
2650 Camino Del Rio N Ste 101 San Diego CA 92108-1630 |
| Practice Telephone | 6192910777 |
| Practice Fax Number | 6192913231 |
| Mailing Telephone | 6192910777 |
| Mailing Fax Number | 6192913231 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | BENJAMIN CULLEN (SECRETARY) |
| Authorized Official Telephone | 6192910777 |
| Authorized Official Credential | DPM |
| 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 |
2650 CAMINO DEL RIO N STE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1871912808 | Brittany Rice | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2014-04-07 |
| 1851652309 | Benjamin Dennis Cullen | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
| 1699138891 | Matthew Wilson | Podiatrist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2016-04-04 |
| Find all providers in SAN DIEGO | ||||
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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.