North Peninsula Podiatry Group | |
560 Jenevein Ave, San Bruno, CA 94066-4408 | |
(650) 588-9189 | |
(650) 588-2814 |
Full Name | North Peninsula Podiatry Group |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 560 Jenevein Ave, San Bruno, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063835817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E4853 (California) | Primary |
Provider Name | Arman A Kirakosian |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437394160 PECOS PAC ID: 4183819121 Enrollment ID: I20101116000482 |
Provider Name | Jason Homan |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285064824 PECOS PAC ID: 7810280419 Enrollment ID: I20160719002549 |
Provider Name | Justin Casey Klein |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1376032235 PECOS PAC ID: 6608266549 Enrollment ID: I20211208000179 |
Mailing Address | Practice Location Address |
---|---|
North Peninsula Podiatry Group 883 Sneath Ln Ste 160, San Bruno, CA 94066-2409 Ph: (650) 588-9189 | North Peninsula Podiatry Group 560 Jenevein Ave, San Bruno, CA 94066-4408 Ph: (650) 588-9189 |
North Peninsula Podiatry Group, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 560 Jenevein Avenue, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 | |
Robert Edward Tang, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 | |
Dr. Arman A Kirakosian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 | |
North Peninsula Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 |