| Dr Nicole Marie Surdock, DPM | |
|
47 Penny Ln, Suite 1, Watsonville, CA 95076-6055 | |
| (831) 728-8844 | |
| Not Available |
| Full Name | Dr Nicole Marie Surdock |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 18 Years |
| Location | 47 Penny Ln, Watsonville, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174674436 | NPI | - | NPPES |
| EL 1671 | Other | CA | D.P.M. RESIDENT'S LICENSE |
| E 4802 | Other | CA | CALIFORNIA STATE LICENSE- DOCOTR OF PODIATRIC MEDICINE AND ANKLE SURGERY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | E4802 (California) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | EL 1671 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watsonville Community Hospital | Watsonville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Foot Care Inc | 0345329686 | 86 |
| Foot Doctors Of Santa Cruz County Inc A Podiatry Group | 5092985770 | 6 |
| Provider Name | Bay Area Foot Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508911892 PECOS PAC ID: 0345329686 Enrollment ID: O20080512000353 |
| Provider Name | Foot Doctors Of Santa Cruz County Inc A Podiatry Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821380049 PECOS PAC ID: 5092985770 Enrollment ID: O20110907001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Marie Surdock, DPM 102 Pebble Beach Ct, Aptos, CA 95003-5724 Ph: (510) 435-8472 | Dr Nicole Marie Surdock, DPM 47 Penny Ln, Suite 1, Watsonville, CA 95076-6055 Ph: (831) 728-8844 |
Yuxi Guan, Podiatrist Medicare: Medicare Enrolled Practice Location: 1820 Main St, Watsonville, CA 95076 Phone: 831-728-4227 Fax: 831-728-0410 | |
Ashika, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 65 Nielson St, Suite 125, Watsonville, CA 95076 Phone: 650-270-4888 Fax: 831-621-4671 | |
Mr. Yaseer Yousuf Parupia, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 47 Penny Lane, Suite 1, Watsonville, CA 95076 Phone: 831-728-8844 Fax: 831-763-1001 | |
Bay Area Foot Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 47 Penny Ln Ste 1, Watsonville, CA 95076 Phone: 831-728-8844 Fax: 831-763-1001 | |
Dr. Joseph Albright, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 47 Penny Ln Ste 1, Watsonville, CA 95076 Phone: 831-728-8844 | |
Dr. William E. Hopkins, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 47 Penny Ln Ste 1, Watsonville, CA 95076 Phone: 831-728-8844 Fax: 831-763-1001 |