Healthcare Provider Details

I. General information

NPI: 1023959202
Provider Name (Legal Business Name): VALLEY FOOT & ANKLE INSTITUTE, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10518 SUNBIRD WAY
STOCKTON CA
95219-7158
US

IV. Provider business mailing address

10518 SUNBIRD WAY
STOCKTON CA
95219-7158
US

V. Phone/Fax

Practice location:
  • Phone: 209-423-0759
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RATEB HADDAD
Title or Position: PRESIDENT
Credential: DPM
Phone: 209-423-0759