Healthcare Provider Details

I. General information

NPI: 1023011459
Provider Name (Legal Business Name): ANTHONY R HOFFMAN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 30TH ST STE 314
OAKLAND CA
94609-3312
US

IV. Provider business mailing address

20130 LAKE CHABOT RD STE 202
CASTRO VALLEY CA
94546-5340
US

V. Phone/Fax

Practice location:
  • Phone: 510-581-1484
  • Fax: 510-581-7779
Mailing address:
  • Phone: 510-278-9350
  • Fax: 510-481-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE4106
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE4106
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: