| San Mateo Podiatry Group, A Professional Corporation | |
|
1750 El Camino Real Ste 106, Burlingame, CA 94010-3210 | |
| (650) 342-2420 | |
| (650) 342-2391 |
| Full Name | San Mateo Podiatry Group, A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1750 El Camino Real Ste 106, Burlingame, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578673638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Bruce Michael Bulkin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316053127 PECOS PAC ID: 7113973025 Enrollment ID: I20050420000312 |
| Provider Name | Bill Jerry Metaxas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972723278 PECOS PAC ID: 4587799507 Enrollment ID: I20100316000802 |
| Provider Name | Isaac Lee Wilhelm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558854059 PECOS PAC ID: 5597147462 Enrollment ID: I20220809002747 |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo Podiatry Group, A Professional Corporation 1750 El Camino Real Ste 106, Burlingame, CA 94010-3210 Ph: (650) 342-2420 | San Mateo Podiatry Group, A Professional Corporation 1750 El Camino Real Ste 106, Burlingame, CA 94010-3210 Ph: (650) 342-2420 |
Dr. Robert John Scagliola, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1740 Marco Polo Way, #10, Burlingame, CA 94010 Phone: 650-697-3011 Fax: 650-697-5273 | |
Dr. Megan S Balliet, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1720 Marco Polo Way, Burlingame, CA 94010 Phone: 650-692-4778 Fax: 650-692-1188 | |
Bruce Michael Bulkin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1750 El Camino Real, Suite 105, Burlingame, CA 94010 Phone: 650-342-2420 Fax: 650-342-2391 | |
Bobby Leung, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1720 Marco Polo Way Ste A, Burlingame, CA 94010 Phone: 650-268-5260 Fax: 650-692-1188 | |
Isaac Wilhelm, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1750 El Camino Real Ste 106, Burlingame, CA 94010 Phone: 650-342-2420 | |
Peter Charles Squellati, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1750 El Camino Real, Suite 105, Burlingame, CA 94010 Phone: 650-342-2420 Fax: 650-342-2391 |