Organization
SILICON VALLEY PODIATRY GROUP
Active
Other names
Silicon Valley Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA HERNANDEZ (OFFICE MANAGER)
(408) 358-2666
Entity
Organization
Contact information
Practice address
2505 SAMARITAN DR STE 509, SAN JOSE, CA 95124-4015
(408) 358-2666
(408) 358-7974
Mailing address
2505 SAMARITAN DR STE 509, SAN JOSE, CA 95124-4015
(408) 358-2666
(408) 358-7974
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174675508
NPI
CA
01
—
1609284231
MEDICARE/NPPES
CA
01
—
DG5074
RRM GROUP PROVIDER #
CA
05
—
GRE-000-840
—
CA
Enumeration date
01/17/2007
Last updated
12/09/2020
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