MEDICARE: DR. JONATHAN KENNETH HUEY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E5559	CA

General Provider Information

NPI Number	:	1215382155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN KENNETH HUEY DPM

Provider Business Mailing Address
First Line	:	3000 COLBY ST STE 104
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-2090
Country	:	US
Telephone Number	:	510-849-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 COLBY ST STE 104
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705
Country	:	US
Telephone Number	:	510-849-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	02/11/2026

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