MEDICARE: RADIN AUR 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	E5265	CA

General Provider Information

NPI Number	:	1235562687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADIN AUR DPM

Provider Business Mailing Address
First Line	:	1810 GRAND CANAL BLVD STE 2
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-8110
Country	:	US
Telephone Number	:	209-952-1612
Fax Number	:	209-952-1631

Provider Business Practice Location Address
First Line	:	1810 GRAND CANAL BLVD STE 2
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-8110
Country	:	US
Telephone Number	:	209-952-1612
Fax Number	:	209-952-1631

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

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	02/27/2020

Similar Medicare Providers

1588771273 — DR. KATHERINE Y. YOUNG DPM
Practice Location Address:

1810 GRAND CANAL BLVD , SUITE 2
STOCKTON, CA
95207-8110

Practice Phone: 209-952-1612
Practice Fax: 209-952-1631

1790201077 — AUR PODIATRY DPM INC
Practice Location Address:

1810 GRAND CANAL BLVD STE 2
STOCKTON, CA
95207-8110

Practice Phone: 209-952-1612
Practice Fax: 209-952-1631

1053991646 — CATHERINE ROSE YUN
Practice Location Address:

1810 GRAND CANAL BLVD STE 2
STOCKTON, CA
95207-8110

Practice Phone: 209-952-1612
Practice Fax: 209-952-1613

1780568485 — BRISBANE HOME CARE AGENCY
Practice Location Address:

4212 STOCKTON PL
JEFFERSON, MD
21755-8110

Practice Phone: 240-644-2779
Practice Fax:

1518638675 — ADAM JAMES MAYNARD
Practice Location Address:

2423 W MARCH LN STE 200
STOCKTON, CA
95207-8250

Practice Phone: 209-478-9862
Practice Fax:

1396606067 — STEVE BARRERA
Practice Location Address:

2495 W MARCH LN STE 125
STOCKTON, CA
95207-8224

Practice Phone: 209-465-1080
Practice Fax: 209-465-2709

Directions to “ RADIN AUR DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.