Provider Demographics
NPI:1467626911
Name:BAKERSFIELD FOOT & ANKLE SURGEONS, A PODIATRY GROUP INC
Entity Type:Organization
Organization Name:BAKERSFIELD FOOT & ANKLE SURGEONS, A PODIATRY GROUP INC
Other - Org Name:BAKERSFIELD FOOT & ANKLE SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINAIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:661-340-0228
Mailing Address - Street 1:500 OLD RIVER RD STE 185
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9505
Mailing Address - Country:US
Mailing Address - Phone:661-832-3600
Mailing Address - Fax:661-322-6249
Practice Address - Street 1:500 OLD RIVER RD STE 185
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9505
Practice Address - Country:US
Practice Address - Phone:661-832-3600
Practice Address - Fax:661-322-6249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6130770001Medicare NSC