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Mark Ian Brenis, DPM

Podiatry · Watsonville

NPI 1801858048

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1
Since medical school
43 years
Kent State University College of Podiatric Medicine, 1983

Offices

1 location · Bay Area Foot Care Inc · 127 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Brenis’s office at (831) 728-8844 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$135,874

Medicare paid this office $135,874 for 808 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Removal of fingernails or toenails, 6 or more nails512$58,369$35
Test or measurement for functional capacity, each 15 minutes476$25,172$25
Short return visit (20+ min)252$23,445$69
New patient visit (30+ min)142$11,396$80
Removal of noncancer thickened skin growth, 2-4 growths63$5,126$60
See all 10 services
Every Original Medicare service billed
Removal of fingernails or toenails, 6 or more nails512$58,369$35
Test or measurement for functional capacity, each 15 minutes476$25,172$25
Short return visit (20+ min)252$23,445$69
New patient visit (30+ min)142$11,396$80
Removal of noncancer thickened skin growth, 2-4 growths63$5,126$60
Removal of noncancer thickened skin growth, 1 growth41$2,772$45
X-ray of foot, minimum of 3 views68$2,654$30
Return visit (30+ min)15$1,642$109
New patient visit (45+ min)11$1,552$141
Removal of fingernails or toenails, 1-5 nails14$609$23

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue819More than 89% of doctors who do this
Removal or shaving of skin growth49More than 79% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Removal of fingernails or toenails, 6 or more nails1,3901,0291,1671,7471,7971,686
Removal of fingernails or toenails, 1-5 nails1,030830644193926
Trimming of fingernails or toenails1,097847610–20–
Removal of noncancer thickened skin growth, 2-4 growths38631827922325886
Removal of noncancer thickened skin growth, 1 growth22222822816516461
Removal of noncancer thickened skin growth, more than 4 growths5947302737–

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

808 Original Medicare patients in 2024. Average age 78 · Under 65 6% · 85 and older 26% · Women 52% · Also on Medicaid 35% · Health risk score 1.46. At or below the middle of the specialty; the typical podiatry clinician is at 1.55.

Conditions among them: High blood pressure 75% · Diabetes 45% · Chronic kidney disease 30% · Coronary heart disease 24% · Atrial fibrillation 23% · Heart failure 19% · Depression 19% · Cancer 12% · COPD 10% · Stroke 10% · Dementia 9%.

The office billed $605,103, Medicare allowed $190,339 and paid $135,874; for 3,526 services of 28 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20248083,526781.46$605,103$135,874
20231,0793,290771.50$352,099$154,527
20221,0013,162771.45$329,363$149,437
20219593,848771.47$347,905$156,354
20201,3154,238771.71$366,695$144,361
20191,2735,212771.60$422,549$167,107
20181,3245,055771.62$420,050$154,718
20171,0274,271771.60$283,932$125,643
20169824,030771.72$254,975$119,713
20151,1074,193781.65$256,060$136,185
20141,1744,295771.50$262,527$135,322
20131,0934,025771.58$251,492$147,866

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 13 services

Original Medicare services billed in 2023
Removal of fingernails or toenails, 6 or more nails595$60,963$34
Short return visit (20+ min)312$29,516$66
New patient visit (30+ min)281$21,797$78
Removal of noncancer thickened skin growth, 2-4 growths100$17,918$69
Removal of noncancer thickened skin growth, 1 growth66$9,644$59
Removal of noncancer thickened skin growth, more than 4 growths15$2,531$68
X-ray of foot, minimum of 3 views75$2,502$27
Permanent removal fingernail or toenail12$1,603$123
New patient visit (45+ min)12$1,183$99
Return visit (30+ min)12$1,139$95
Removal of fingernails or toenails, 1-5 nails26$1,008$26
Short return visit11$546$42
Trimming of fingernails or toenails15$163$8

2022: 12 services

Original Medicare services billed in 2022
Removal of fingernails or toenails, 6 or more nails582$61,016$35
Short return visit (20+ min)274$28,421$68
New patient visit (30+ min)267$22,276$83
Removal of noncancer thickened skin growth, 2-4 growths77$15,789$71
Removal of noncancer thickened skin growth, 1 growth60$9,787$59
X-ray of foot, minimum of 3 views77$2,846$29
Removal of noncancer thickened skin growth, more than 4 growths12$2,163$80
Simple separation of fingernail or toenail from nail bed, first nail11$965$88
Short return visit20$883$38
Removal of fingernails or toenails, 1-5 nails18$501$26
X-ray of ankle, minimum of 3 views11$386$35
Injection, triamcinolone acetonide, not otherwise specified, 10 mg22$55None

2021: 13 services

Original Medicare services billed in 2021
Removal of fingernails or toenails, 6 or more nails430$42,045$36
Short return visit (20+ min)277$29,958$73
Removal of noncancer thickened skin growth, 2-4 growths93$18,208$65
Removal of fingernails or toenails, 1-5 nails246$16,432$26
New patient visit (30+ min)192$16,404$85
Removal of noncancer thickened skin growth, 1 growth83$13,424$59
Trimming of fingernails or toenails243$5,666$9
X-ray of foot, minimum of 3 views71$2,652$29
Permanent removal fingernail or toenail15$2,404$141
Removal of noncancer thickened skin growth, more than 4 growths12$2,011$67
Short return visit23$1,220$42
New patient visit (15+ min)12$422$35
Injection, triamcinolone acetonide, not otherwise specified, 10 mg16$64None

2020: 15 services

Original Medicare services billed in 2020
Removal of fingernails or toenails, 6 or more nails498$34,357$34
Short return visit (20+ min)287$23,509$57
Removal of fingernails or toenails, 1-5 nails411$20,131$25
Removal of noncancer thickened skin growth, 2-4 growths166$18,227$57
Removal of noncancer thickened skin growth, 1 growth124$11,677$51
New patient visit (30+ min)146$10,814$74
Trimming of fingernails or toenails413$7,464$9
New patient visit (15+ min)63$3,014$48
Removal of noncancer thickened skin growth, more than 4 growths25$2,875$61
Short return visit66$2,528$34
X-ray of foot, minimum of 3 views68$2,197$27
Simple separation of fingernail or toenail from nail bed, first nail12$1,205$93
Trimming of fingernails or toenails15$0$0
Removal of fingernails or toenails, 1-5 nails16$0$0
Removal of fingernails or toenails, 6 or more nails15$0$0

2019: 16 services

Original Medicare services billed in 2019
Removal of fingernails or toenails, 6 or more nails474$45,736$35
Removal of fingernails or toenails, 1-5 nails340$25,575$26
Removal of noncancer thickened skin growth, 2-4 growths134$19,635$51
Short return visit (20+ min)216$16,261$55
New patient visit (15+ min)232$12,653$55
Trimming of fingernails or toenails360$10,381$10
Removal of noncancer thickened skin growth, 1 growth88$10,090$45
New patient visit (30+ min)70$5,835$83
Short return visit136$5,778$35
Removal of noncancer thickened skin growth, more than 4 growths20$3,423$58
X-ray of foot, minimum of 3 views71$2,217$25
Simple separation of fingernail or toenail from nail bed, first nail13$1,219$94
Removal of fingernails or toenails, 6 or more nails28$1,210$14
Removal of fingernails or toenails, 1-5 nails19$600$11
Trimming of fingernails or toenails18$298$5
Injection, triamcinolone acetonide, not otherwise specified, 10 mg18$70None

2018: 17 services

Original Medicare services billed in 2018
Removal of fingernails or toenails, 6 or more nails472$40,790$33
Removal of fingernails or toenails, 1-5 nails359$22,681$25
Removal of noncancer thickened skin growth, 2-4 growths148$16,844$43
Short return visit (20+ min)206$16,220$55
New patient visit (15+ min)186$9,507$51
Trimming of fingernails or toenails382$9,229$9
Removal of noncancer thickened skin growth, 1 growth88$8,022$36
New patient visit (30+ min)91$6,963$77
Short return visit145$6,335$34
X-ray of foot, minimum of 3 views101$2,865$23
Removal of noncancer thickened skin growth, more than 4 growths21$2,644$51
Permanent removal fingernail or toenail15$2,064$109
Removal of skin and tissue, 20.0 sq cm or less16$1,996$95
Simple separation of fingernail or toenail from nail bed, first nail20$1,780$81
Removal of fingernails or toenails, 6 or more nails26$813$16
Injection, triamcinolone acetonide, not otherwise specified, 10 mg24$119None
Trimming of fingernails or toenails11$117$5

2017: 18 services

Original Medicare services billed in 2017
Removal of fingernails or toenails, 6 or more nails417$41,172$33
Removal of fingernails or toenails, 1-5 nails247$17,464$23
Removal of noncancer thickened skin growth, 2-4 growths97$13,658$44
Short return visit (20+ min)164$12,552$54
New patient visit (15+ min)149$8,338$56
Trimming of fingernails or toenails264$7,213$9
Removal of noncancer thickened skin growth, 1 growth68$7,090$36
Short return visit91$3,615$31
New patient visit (30+ min)43$3,047$71
Removal of noncancer thickened skin growth, more than 4 growths17$1,884$45
Simple separation of fingernail or toenail from nail bed, first nail17$1,408$78
X-ray of foot, minimum of 3 views49$1,314$23
Removal of fingernails or toenails, 6 or more nails26$717$13
Injection into tendon at attachment to bone or muscle13$644$38
Injection of anesthetic and/or steroid drug into foot nerve13$615$38
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes17$564$31
Injection, triamcinolone acetonide, not otherwise specified, 10 mg24$117None
Trimming of fingernails or toenails11$67$4

2016: 16 services

Original Medicare services billed in 2016
Removal of fingernails or toenails, 6 or more nails417$37,201$33
Removal of fingernails or toenails, 1-5 nails265$16,466$24
Short return visit (20+ min)181$15,438$52
Removal of noncancer thickened skin growth, 2-4 growths146$14,682$42
Trimming of fingernails or toenails277$6,565$9
Removal of noncancer thickened skin growth, 1 growth88$6,556$35
Short return visit107$4,070$31
New patient visit (15+ min)79$3,773$48
New patient visit (30+ min)51$3,524$69
X-ray of foot, minimum of 3 views52$1,395$21
Removal of noncancer thickened skin growth, more than 4 growths13$1,365$44
Simple separation of fingernail or toenail from nail bed, first nail16$1,293$76
Removal of fingernails or toenails, 6 or more nails22$881$14
Injection into tendon at attachment to bone or muscle13$562$35
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes13$465$36
Trimming of fingernails or toenails11$96$4

2015: 17 services

Original Medicare services billed in 2015
Removal of fingernails or toenails, 6 or more nails414$39,006$34
Short return visit (20+ min)183$15,636$55
Removal of fingernails or toenails, 1-5 nails252$15,284$25
New patient visit (30+ min)172$12,300$72
Removal of noncancer thickened skin growth, 2-4 growths100$10,809$45
Trimming of fingernails or toenails278$6,751$10
Removal of noncancer thickened skin growth, 1 growth77$6,123$38
New patient visit (15+ min)108$5,977$55
Short return visit123$5,427$33
X-ray of foot, minimum of 3 views91$2,701$23
Removal of fingernails or toenails, 6 or more nails62$2,670$17
Permanent removal fingernail or toenail13$2,478$177
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes27$963$36
Injection into tendon at attachment to bone or muscle14$849$47
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes15$509$34
Removal of fingernails or toenails, 1-5 nails24$462$10
Trimming of fingernails or toenails33$315$5

2014: 20 services

Original Medicare services billed in 2014
Removal of fingernails or toenails, 6 or more nails494$40,194$33
Short return visit (20+ min)194$15,658$53
Removal of fingernails or toenails, 1-5 nails247$12,812$24
New patient visit (30+ min)144$10,141$70
Short return visit264$9,889$32
Removal of noncancer thickened skin growth, 2-4 growths106$9,228$41
New patient visit (15+ min)118$6,113$52
Removal of noncancer thickened skin growth, 1 growth75$5,932$36
Trimming of fingernails or toenails258$5,324$10
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes91$3,338$36
X-ray of foot, minimum of 3 views73$2,497$24
Removal of fingernails or toenails, 6 or more nails76$2,329$16
Simple separation of fingernail or toenail from nail bed, first nail22$1,638$74
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes41$1,379$34
Removal of noncancer thickened skin growth, more than 4 growths15$1,088$49
Injection into tendon at attachment to bone or muscle15$897$47
Removal of fingernails or toenails, 1-5 nails43$736$9
Injection of anesthetic and/or steroid drug into foot nerve12$583$39
Trimming of fingernails or toenails49$450$5
Injection, methylprednisolone acetate, 20 mg14$39None

2013: 21 services

Original Medicare services billed in 2013
Removal of fingernails or toenails, 6 or more nails472$42,013$35
Short return visit (20+ min)199$17,807$59
Removal of noncancer thickened skin growth, 2-4 growths116$11,713$48
Removal of fingernails or toenails, 1-5 nails218$10,796$26
New patient visit (30+ min)126$10,594$84
New patient visit (15+ min)132$7,715$58
Removal of noncancer thickened skin growth, 1 growth92$7,528$39
Short return visit83$3,726$36
Trimming of fingernails or toenails217$3,251$8
X-ray of foot, minimum of 3 views80$3,063$27
Permanent removal fingernail or toenail12$2,247$173
Simple separation of fingernail or toenail from nail bed, first nail26$2,225$82
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes53$1,842$35
Removal of noncancer thickened skin growth, more than 4 growths24$1,570$54
Removal of fingernails or toenails, 6 or more nails70$1,569$17
Return visit (30+ min)13$1,229$88
Injection into tendon or ligament17$910$48
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes26$819$31
Removal of fingernails or toenails, 1-5 nails56$687$9
New patient visit (10+ min)15$513$34
Trimming of fingernails or toenails63$412$5

Medicaid work

$48,227 in 2024

Medicaid paid $48,227 for 787 billed services this clinician did in 2024, up to 53 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Short return visit (20+ min)470$42,081
New patient visit (30+ min)29$3,151
Debridement of nail(s) by any method(s); 6 or more264$2,696
PHYSICAL PERFORMANCE TEST24$299
Medicaid work by year
2024787453$48,227
20232,005783$119,934
20221,641670$105,094
20211,844876$104,554
20201,883863$71,580
20191,970750$51,411
20182,400967$81,087
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)885$73,344
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES241$30,064
Debridement of nail(s) by any method(s); 6 or more666$6,831
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each24$5,453
X-RAY EXAM OF FOOT86$2,063
New patient visit (30+ min)48$1,293
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions55$885

2022

Largest Medicaid services in 2022
Short return visit (20+ min)750$61,100
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES233$30,845
Debridement of nail(s) by any method(s); 6 or more541$5,558
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each26$5,493
X-RAY EXAM OF FOOT67$1,671
New patient visit (30+ min)24$427

2021

Largest Medicaid services in 2021
Short return visit (20+ min)652$53,666
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES245$32,120
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each30$6,816
Debridement of nail(s) by any method(s); 6 or more432$5,439
X-RAY EXAM OF FOOT108$3,029
Debridement of nail(s) by any method(s); 1 to 5208$2,130
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions39$966
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER130$390

2020

Largest Medicaid services in 2020
Short return visit (20+ min)567$32,881
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES196$25,523
Debridement of nail(s) by any method(s); 6 or more404$6,165
Debridement of nail(s) by any method(s); 1 to 5334$4,056
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions74$1,336
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER250$648
X-RAY EXAM OF FOOT31$610
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion27$361

2019

Largest Medicaid services in 2019
Short return visit (20+ min)411$23,911
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES81$10,548
Debridement of nail(s) by any method(s); 6 or more481$6,237
Debridement of nail(s) by any method(s); 1 to 5414$4,238
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions156$3,406
Short return visit87$2,591
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER340$481

2018

Largest Medicaid services in 2018
Short return visit (20+ min)530$32,790
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES194$25,263
Debridement of nail(s) by any method(s); 6 or more523$8,070
Short return visit175$5,077
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions178$3,953
Debridement of nail(s) by any method(s); 1 to 5377$3,846
X-RAY EXAM OF FOOT104$1,693
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER306$256
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion13$139

Drugs they prescribed that Part D paid

$1,733

Pharmacies billed $1,733 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 147) in 2024. At or below the middle of the specialty; the typical podiatry clinician is at 5%.

147 generic and 0 brand-name prescriptions · $1,733 in drug cost · 21 antibiotic prescriptions to 17 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Terbinafine40$301$8
Ketoconazole17$293$17
Diclofenac11$271$25
Naproxen21$115$5

Year by year

Part D prescribing by year
2024147770% (0)0%$1,733
202321598NoneNone$5,086
2022184870% (0)0%$4,422
202112376None0%$2,589
202016892NoneNone$4,313
201913375NoneNone$5,611
2018170907% (11)9%$5,398
201710355NoneNone$5,320
201611368NoneNone$6,856
20159752NoneNone$8,843
20148852NoneNone$2,597
2013966221% (20)None$4,033

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Econazole Nitrate19$1,477$78
Diclofenac33$904$27
Ciclopirox11$377$34
Naproxen38$362$10
Ketoconazole11$314$29
Terbinafine20$253$13
Gabapentin38$236$6

2022: 5 drugs

Part D drugs prescribed in 2022
Ketoconazole27$1,688$63
Diclofenac28$656$23
Terbinafine36$369$10
Naproxen25$195$8
Gabapentin16$100$6

2021: 4 drugs

Part D drugs prescribed in 2021
Ketoconazole22$1,070$49
Ciclopirox14$380$27
Terbinafine30$349$12
Diclofenac14$301$22

2020: 7 drugs

Part D drugs prescribed in 2020
Ketoconazole35$2,007$57
Ciclopirox18$641$36
Diclofenac13$328$25
Terbinafine25$169$7
Cephalexin16$81$5
Gabapentin15$61$4
Sulfamethoxazole-Trimethoprim11$49$4

2019: 5 drugs

Part D drugs prescribed in 2019
Ketoconazole29$2,199$76
Ciclopirox13$415$32
Terbinafine17$197$12
Cephalexin12$138$11
Gabapentin13$128$10

2018: 5 drugs

Part D drugs prescribed in 2018
Ketoconazole16$1,038$65
Ciclopirox19$512$27
Terbinafine23$223$10
Gabapentin14$97$7
Naproxen13$80$6

2017: 2 drugs

Part D drugs prescribed in 2017
Ciclopirox20$678$34
Terbinafine15$132$9

2016: 5 drugs

Part D drugs prescribed in 2016
Ketoconazole13$883$68
Terbinafine24$215$9
Sulfamethoxazole-Trimethoprim14$108$8
Cephalexin12$105$9
Naproxen11$92$8

2015: 3 drugs

Part D drugs prescribed in 2015
Lidocaine16$5,893$368
Terbinafine24$169$7
Sulfamethoxazole-Trimethoprim13$61$5

2014: 1 drug

Part D drugs prescribed in 2014
Terbinafine30$314$10

2013: 2 drugs

Part D drugs prescribed in 2013
Naproxen11$81$7
Tramadol13$61$5

Money from drug and device companies

$278 in 2025

Industry payments by year
202533None$278
202412None$177

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
StrykerOrtholoc 2 Lapifuse$140
1 payment
  • Meals for Ortholoc 2 Lapifuse · 2025-09-12 · $140
Tactile Systems TechnologyFlexitouch Plus$92
1 payment
  • Meals for Flexitouch Plus · 2025-04-16 · $92
Smith+NephewStravix$46
1 payment
  • Meals for Stravix · 2025-06-03 · $46
See all 3 published payments
Every published payment
StrykerMeals · 2025-09-12Ortholoc 2 Lapifuse$140
Smith+NephewMeals · 2025-06-03Stravix$46
Tactile Systems TechnologyMeals · 2025-04-16Flexitouch Plus$92
See earlier years (2024)

2024: $177

Payments by company in 2024
Alafair BiosciencesVersawrap$177
2 payments
  • Meals for Versawrap · 2024-09-23 · $114
  • Meals for Versawrap · 2024-09-14 · $63

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1801858048
Licence
CA E3289
Trained
Kent State University College of Podiatric Medicine, 1983 · 43 years ago
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 213E00000X (213E00000X); Federal specialty code 213EP1101X (213EP1101X); Federal specialty code 213ES0000X (213ES0000X); Federal specialty code 213ES0131X (213ES0131X)
Mailing address
47 Penny Ln, Suite 1, Watsonville, CA, 95076
NPI first listed
2006-04-04
NPI last updated
2016-08-31

This is when the NPI record was last certified, not a medical board exam.