| Cupertino Podiatry, Inc | |
|
10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 | |
| (408) 446-5811 | |
| (408) 996-1637 |
| Full Name | Cupertino Podiatry, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10353 Torre Ave, Cupertino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942432505 | NPI | - | NPPES |
| 1942432505 | Medicaid | CA | |
| CD479A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4260 (California) | Primary |
| Provider Name | Thomas J Elardo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023112554 PECOS PAC ID: 4183527526 Enrollment ID: I20040131000309 |
| Provider Name | Ami Atul Sheth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093778714 PECOS PAC ID: 8628005030 Enrollment ID: I20050718000589 |
| Provider Name | Glenn M Weinraub |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093786998 PECOS PAC ID: 3173590155 Enrollment ID: I20070410000320 |
| Provider Name | Michael Cornelison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215020730 PECOS PAC ID: 3870648132 Enrollment ID: I20090910000207 |
| Provider Name | Adam Howard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679712624 PECOS PAC ID: 1658427752 Enrollment ID: I20090915000218 |
| Provider Name | Cary Costa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952690901 PECOS PAC ID: 7315123577 Enrollment ID: I20110524000335 |
| Provider Name | Michael Fujinaka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598051278 PECOS PAC ID: 4789978073 Enrollment ID: I20160809002852 |
| Provider Name | Stephen Koryo An |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467835991 PECOS PAC ID: 1254688146 Enrollment ID: I20180724001687 |
| Provider Name | Kevin Ragothaman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699138735 PECOS PAC ID: 7315271251 Enrollment ID: I20200629000582 |
| Provider Name | Jisun Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982187027 PECOS PAC ID: 3274959648 Enrollment ID: I20210922001278 |
| Provider Name | Monica Rai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730756974 PECOS PAC ID: 1355719295 Enrollment ID: I20221123002572 |
| Mailing Address | Practice Location Address |
|---|---|
| Cupertino Podiatry, Inc 15100 Los Gatos Blvd Ste 4, Los Gatos, CA 95032-2028 Ph: (408) 358-6234 | Cupertino Podiatry, Inc 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 Ph: (408) 446-5811 |
Dr. Michael Joseph Cornelison, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10353 Torre Ave, Suite C, Cupertino, CA 95014 Phone: 408-446-5811 Fax: 408-996-1637 | |
Bay Area Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 10353 Torre Ave Ste C, Cupertino, CA 95014 Phone: 408-358-6234 Fax: 408-358-3389 | |
Voong Chuang Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1030 Pennington Ln, Cupertino, CA 95014 Phone: 408-786-7677 | |
Dr. Adam Sean Howard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10353 Torre Ave, Suite C, Cupertino, CA 95014 Phone: 408-446-5811 | |
Kevin Ragothaman, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10353 Torre Ave Ste C, Cupertino, CA 95014 Phone: 408-358-6234 Fax: 202-362-3330 |