JOHN W. SCIVALLY, D.P.M INC (NPI# 1639355381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639355381 |
| Entity Type | Organization |
| Organization Name | JOHN W. SCIVALLY, D.P.M INC |
| Other Organization Name | BAY AREA FOOT AND ANKLE ASSOCIATES |
| Practice Address |
130 La Casa Via Ste 204 Bldg. 1 Walnut Creek CA 94598-3028 |
| Mailing Address |
130 La Casa Via, Suite 204 Bldg. 1 Walnut Creek CA 94598-3045 |
| Practice Telephone | 9259372860 |
| Mailing Telephone | 9259372860 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MR. JOHN W SCIVALLY (OWNER/ PHYSICIAN) |
| Authorized Official Telephone | 9259372860 |
| 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 |
E4319 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E43190 | 05 |
| Other Name | Type Code |
|---|---|
| Bay Area Foot and Ankle Associates | Other Name - Individual/Organization |
| Street Address |
130 LA CASA VIA STE 204 BLDG. 1 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785131 | Robin K Lie | Podiatrist | 130 La Casa Via Ste 204, Walnut Creek, CA 94598 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912539891 | Bay Area Foot Care, Inc | Podiatrist | 228 N Wiget Ln, Walnut Creek, CA 94598-2404 | 2020-02-07 |
| 1336572247 | Gita J. Patel, Dpm, Inc. | Podiatrist | 1479 Ygnacio Valley Rd, Suite 102, Walnut Creek, CA 94598-2986 | 2013-08-14 |
| 1154664910 | Joshua Edlinger | Podiatrist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2013-03-30 |
| 1235353467 | Adobe Foot Clinic | Podiatrist | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2007-04-12 |
| 1023152345 | Jennifer Kim | Podiatrist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-02-19 |
| 1528153889 | Cecile Shepard | Podiatrist | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2006-10-04 |
| 1245246511 | Nisha Patel | Podiatrist | 1776 Ygnacio Valley Rd, Suite #102, Walnut Creek, CA 94598-3190 | 2006-07-31 |
| 1518951722 | John W Scivally | Podiatrist | 130 La Casa Via, Bldg. 1, Ste. 204, Walnut Creek, CA 94598-3045 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on JOHN W. SCIVALLY, D.P.M INC.
| 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.