1730366261 NPI number — DR BOB S SALK DPM PC APC

Table of content: (NPI 1730366261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730366261 NPI number — DR BOB S SALK DPM PC APC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR BOB S SALK DPM PC APC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTHERN CALIFORNIA FOOT AND ANKLE CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730366261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 CASTRO ST STE 315
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94114-1019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-565-0200
Provider Business Mailing Address Fax Number:
415-565-0296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 CASTRO ST STE 315
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94114-1019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-565-0200
Provider Business Practice Location Address Fax Number:
415-565-0296
Provider Enumeration Date:
01/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SALK
Authorized Official First Name:
BOB
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
415-565-0200

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  E4307 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 213ES0103X , with the licence number: E4449 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0103X , with the licence number: E4790 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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