Provider Demographics
NPI:1326223744
Name:AMERICAN FOOT CARE PRODUCTS INC
Entity Type:Organization
Organization Name:AMERICAN FOOT CARE PRODUCTS INC
Other - Org Name:REDDING AMBULATORY SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:BASINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:530-221-1666
Mailing Address - Street 1:PO BOX 2228
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:96022
Mailing Address - Country:US
Mailing Address - Phone:530-221-1666
Mailing Address - Fax:530-221-2111
Practice Address - Street 1:923 DANA DR
Practice Address - Street 2:STE 5
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003
Practice Address - Country:US
Practice Address - Phone:530-221-1666
Practice Address - Fax:530-221-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ32221ZMedicare UPIN
051208Medicare PIN