EAST BAY PODIATRY, PC
NPI 1255961793
Podiatrist - Foot & Ankle Surgery in Concord, CA
NPI Status: Active since January 23, 2020
Contact Information
2485 HIGH SCHOOL AVE STE 222
CONCORD, CA
ZIP 94520
Phone: (925) 685-3117
- Organization
- Podiatrist
- Foot & Ankle Surgery
- Medicare Supplier
- Accepts Medicare Approved Payment
About EAST BAY PODIATRY, PC
This page provides the complete NPI Profile along with additional information for East Bay Podiatry, Pc, a provider established in Concord, California operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1255961793 assigned on January 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 4 years ago. East Bay Podiatry, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Colleen M. Kenney, D.p.m.. The authorized official of this NPI record is Dr. Colleen M Kenney D.p.m. (President)
- NPI
- 1255961793
- Provider Legal Name
- EAST BAY PODIATRY, PC
- Other Organization Name
- COLLEEN M. KENNEY, D.P.M.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2485 HIGH SCHOOL AVE STE 222 CONCORD, CA 94520
- Location Phone
- (925) 685-3117
- Mailing Address
- 2485 HIGH SCHOOL AVE STE 222 CONCORD, CA 94520
- Mailing Phone
- (925) 685-3117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2020
- Last Update Date
- 06-11-2021
- Code Navigator
East Bay Podiatry, Pc is a medicare supplier with PTAN 20408087 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WW0000X | Nursing Service Providers | Registered Nurse | |
| 2 | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 3 | 213ES0000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20408087
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Provider Type List
- PHYSICIAN – PODIATRY.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 9 | 6 | 1 | 7 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 18 | 6 | 2 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 2 + 7 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1255961793 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235353467 | ADOBE FOOT CLINIC Organization | Podiatrist (Foot & Ankle Surgery) | 2485 HIGH SCHOOL AVE STE 222 CONCORD, CA 94520 (925) 372-8780 |
| 1528153889 | CECILE SHEPARD D.P.M Individual | Podiatrist (Foot & Ankle Surgery) | 2485 HIGH SCHOOL AVE STE 222 CONCORD, CA 94520 (925) 372-8780 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255961793, enumerated in the NPI registry as an "organization" on January 23, 2020
The provider is located at 2485 High School Ave Ste 222 Concord, Ca 94520 and the phone number is (925) 685-3117
This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery
This NPI record was last updated on January 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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