1942904107 NPI number — BAY AREA FOOT CARE, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942904107 NPI number — BAY AREA FOOT CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAY AREA FOOT CARE, INC
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:
Provider Other Organization Name Type Code:
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:
1942904107
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20130 LAKE CHABOT RD STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CASTRO VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94546-5340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-581-1484
Provider Business Mailing Address Fax Number:
510-581-7779

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 EVELYN AVE STE 223
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94706-1375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-581-1484
Provider Business Practice Location Address Fax Number:
510-526-4165
Provider Enumeration Date:
03/29/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CARPENTIERI
Authorized Official First Name:
JULIE-ANN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
510-399-0221

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0103X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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