Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1780689455

Unknown Individual is a healthcare provider. based in San jose, California. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. E-4486 (CA). The NPI Number for Unknown Individual is 1780689455

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780689455
Phone
(408) 910-9436
Address
10700 CROTHERS ROAD
Deactivation Date
30 January 2022

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
2769396894
Professional Enrollment ID
I20031113000565
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 10700 CROTHERS ROAD

    SAN JOSE, CA 951271730

    Phone: (408) 910-9436

    Fax: (408) 272-3903

    Type: Mailing

  • Los Gatos, Puerto de la Torre, Málaga, Málaga-Costa del Sol, Malaga, Andalusia, 29191, Spain

    STE 1G

    LOS GATOS, CA 950322600

    Phone: (408) 910-9436

    Fax: (408) 272-3903

    Type: Location

  • 14981 National Ave Ste 2

    Ste 1G

    Los Gatos, CA 950322600

    Phone: (408) 910-9436

    Fax: (408) 272-3903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95127)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1780689455 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use San Jose, California as the reference point for Unknown Individual, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

Similar Providers

ADRIENNE CYGAL SABIN (DPM)

Foot & Ankle Surgery Podiatrist
5327 HOUNDS EST
NPI: 1043213523
2505 Samaritan Drive, Samaritan Drive, San Jose, Santa Clara County, California, 95032-2502, United States
NPI: 1639174303

DR. DAVID ALAN SHARPE (DPM)

Foot & Ankle Surgery Podiatrist
2505 Samaritan Drive, Samaritan Drive, San Jose, Santa Clara County, California, 95032-2502, United States
NPI: 1255336921

DR. DENNIS HTYAN HWA HUM (DPM)

Foot & Ankle Surgery Podiatrist
2242 CAMDEN AVE
NPI: 1649270620

DR. JACK L JR. BOIS (D.P.M.)

Foot & Ankle Surgery Podiatrist
2409, Fairoak Court, Dry Creek, San Jose, Santa Clara County, California, 95125, United States
NPI: 1972562874

DR. VICTOR W LEE (D.P.M.)

Foot & Ankle Surgery Podiatrist
697, East Remington Drive, Sunnyvale, Santa Clara County, California, 94087, United States
NPI: 1518920602

JAMES WAYNE RATCLIFF (DPM)

Foot & Ankle Surgery Podiatrist
300 PASTEUR DR
NPI: 1326002064

BRUCE IAN LERMAN (DPM)

Foot & Ankle Surgery Podiatrist
555 KNOWLES DR STE 117
NPI: 1467486803

TIMOTHY PHAM (D.P.M.)

Foot & Ankle Surgery Podiatrist
Lundy Avenue, Berryessa, San Jose, Santa Clara County, California, 95133, United States
NPI: 1407871015