=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700917028
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVID R. FRANCIS, DPM, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2007
-----------------------------------------------------
Last Update Date | 10/30/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14651 S BASCOM AVE SUITE 215
-----------------------------------------------------
City | LOS GATOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95032-2014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-358-2255
-----------------------------------------------------
Fax | 408-358-7755
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14651 S BASCOM AVE SUITE 215
-----------------------------------------------------
City | LOS GATOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95032-2014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-358-2255
-----------------------------------------------------
Fax | 408-358-7755
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DAVID R FRANCIS
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 408-358-2255
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0131X
-----------------------------------------------------
Taxonomy Name | Foot Surgery Podiatrist
-----------------------------------------------------
License Number | 000E17211
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------