| Step Up Podiatry Professional Corporation | |
|
1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928-2932 | |
| (707) 586-9300 | |
| Not Available |
| Full Name | Step Up Podiatry Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1350 Medical Center Dr, Rohnert Park, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902280928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E34090 (California) | Primary |
| Provider Name | Ameha T Joba |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043506140 PECOS PAC ID: 1153591250 Enrollment ID: I20160818001148 |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up Podiatry Professional Corporation 1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928-2932 Ph: (707) 586-9300 | Step Up Podiatry Professional Corporation 1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928-2932 Ph: (707) 586-9300 |
Dr. Ameha Teklu Joba, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928 Phone: 707-586-9300 | |
Ameha T. Joba,dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1350 Medical Center Dr, Rohnert Park, CA 94928 Phone: 707-586-9300 | |
Mr. Thomas M Fitzgerald, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1350 Medical Center Drive, Ste B, Rohnert Park, CA 94928 Phone: 707-586-9300 Fax: 707-586-1252 |