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NPI Code Detail

MEDICARE: BAY AREA FOOT CARE, INC

MEDICARE: BAY AREA FOOT CARE, INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2213ES0103XFoot & Ankle Surgery Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16186880002OTHERCADME

General Provider Information

NPI Number : 1669004644
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY AREA FOOT CARE, INC
Provider Business Mailing Address
First Line : 20130 LAKE CHABOT RD STE 202
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5340
Country : US
Telephone Number : 510-581-1484
Fax Number : 510-581-7779
Provider Business Practice Location Address
First Line : 411 30TH ST STE 314
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-581-1484
Fax Number : 510-705-1347
Authorized Official
Title or Position : CHIEF REGIONAL MEDICAL OFFICER
Name : ALEXANDER REYZELMAN
Credential : DPM
Telephone Number : 415-292-0638
Provider Enumeration Date : 02/07/2020
Last Update Date : 03/10/2026

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Directions to “BAY AREA FOOT CARE, INC ” Practice Location

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