Healthcare Provider Details

I. General information

NPI: 1649193426
Provider Name (Legal Business Name): AMOL SAXENA DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MIDDLEFIELD RD STE 101
PALO ALTO CA
94301-2146
US

IV. Provider business mailing address

555 MIDDLEFIELD RD STE 101
PALO ALTO CA
94301-2146
US

V. Phone/Fax

Practice location:
  • Phone: 650-512-4456
  • Fax: 650-491-6595
Mailing address:
  • Phone: 650-512-4566
  • Fax: 650-491-6595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: AMOL SAXENA
Title or Position: CEO/PHYSICIAN
Credential: DPM
Phone: 805-637-9736