Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
JACK ELLIOTT FISHER
Active
Individual
JACK ELLIOTT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1702
CA
213ES0131X
Foot Surgery Podiatrist
E1702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629072392
INDIVIDUAL NPI
CA
01
—
1780794644
ENTITY NPI
CA
01
—
E1702
MEDICAL LICENSE
CA
Enumeration date
06/09/2005
Last updated
08/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up