| Foothill Podiatry Of Grass Valley, Inc | |
|
152 Catherine Ln Ste F, Grass Valley, CA 95945-5756 | |
| (530) 477-7200 | |
| (530) 477-1246 |
| Full Name | Foothill Podiatry Of Grass Valley, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 152 Catherine Ln Ste F, Grass Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740290865 | NPI | - | NPPES |
| 1740290865 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
| Provider Name | Kennan Thomas Runte |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134196751 PECOS PAC ID: 0446224794 Enrollment ID: I20050223000966 |
| Provider Name | Morgan Garcia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760970081 PECOS PAC ID: 5597168948 Enrollment ID: I20220926001467 |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Podiatry Of Grass Valley, Inc 152 Catherine Ln Ste F, Grass Valley, CA 95945-5756 Ph: (530) 477-7200 | Foothill Podiatry Of Grass Valley, Inc 152 Catherine Ln Ste F, Grass Valley, CA 95945-5756 Ph: (530) 477-7200 |
Dr. Justin Jose Rivera, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 104 Margaret Ln Ste A, Grass Valley, CA 95945 Phone: 530-648-1234 Fax: 530-648-1235 | |
Valley Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 104 Margaret Ln Ste A, Grass Valley, CA 95945 Phone: 530-648-1234 Fax: 530-648-1235 | |
Kennan Thomas Runte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 123 Margaret Lane, Ste B-1, Grass Valley, CA 95945 Phone: 530-477-7200 Fax: 530-477-1246 | |
Foot And Ankle Surgeons Of Northern California Podiatrist Medicare: Medicare Enrolled Practice Location: 150 Catherine Ln Ste B, Grass Valley, CA 95945 Phone: 530-271-2100 | |
Marc Timothy Claydon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 Catherine Ln Ste B, Grass Valley, CA 95945 Phone: 530-271-2100 | |
Dr. Nathan Brian Payne, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 104 Margaret Ln Ste A, Grass Valley, CA 95945 Phone: 801-368-0512 Fax: 530-648-1235 |