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STOCKDALE PODIATRY GROUP INC
NPI 1013013002
Podiatrist - Foot & Ankle Surgery in Bakersfield, CA

Active since September 16, 2006CLIA 05D2152724 · Certificate of Compliance
110 NEW STINE RD, BAKERSFIELD, CA 93309(661) 832-1666(661) 832-2039 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Stockdale Podiatry Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOCKDALE PODIATRY GROUP INC (NPI 1013013002) is a healthcare organization registered as a foot & ankle surgery in Bakersfield, California and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 8, 2027, maintains 3 additional practice locations, and lists Brandon Hawkins, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1013013002
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSTOCKDALE PODIATRY GROUP INC
Location Address110 NEW STINE RDBakersfield, CA 93309-2605
Mailing Address110 New Stine RdBakersfield, CA 93309-2605 · (661) 832-1666 · Fax (661) 832-2039
Phone(661) 832-1666
Fax(661) 832-2039
Organization SubpartNo
Authorized OfficialBrandon HawkinsDoctor/owner · (661) 832-1666
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
✔ NPI 1013013002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
110 NEW STINE RD, Bakersfield, CA 93309
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1448 W Putnam AvePorterville, CA 93257-3321 · Phone (559) 784-3118 · Fax (559) 784-7486
Location 2951 E Merritt AveTulare, CA 93274-2221 · Phone (661) 832-1667
Location 31519 Garces Hwy Ste 107Delano, CA 93215-3694 · Phone (661) 725-1664 · Fax (661) 725-2786

Other Identifiers 5

OtherE4648CA · Lic # Hawkins
OtherA76044CA · Lic-mihaluta
OtherE3008CA · Lic-dr.hamilton
OtherE3891CA · Lic-dr.pasaboc
OtherE3301CA · Lic-dr.miller

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stockdale Podiatry Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100930015156DME · Physician - PodiatryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Stockdale Podiatry Group Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Podiatry12
Nurse Practitioner1
Pathology1

Clinicians, nearest first (14)

Arsenio Cachero, NP
Nurse Practitioner
NPI 1225483514
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Alexis Conley, DPM
Podiatry
NPI 1831767276
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1666
✔ PECOS✔ Accepts MedicareSame address
Michael Flores, DPM
Podiatry
NPI 1649839655
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Brandon Hawkins, DPM
Podiatry
NPI 1073587663
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Paul Kim, DPM
Podiatry
NPI 1700406311
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Solomon Kim, DPM
Podiatry
NPI 1346865409
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Delphine Lam, DPM
Podiatry
NPI 1306589791
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Tzu Lu Lin, DPM
Podiatry
NPI 1710502414
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1666
✔ PECOS✔ Accepts MedicareSame address
Liviu Pasaboc, DPM
Podiatry
NPI 1659363554
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Timothy Vo, DPM
Podiatry
NPI 1861060352
110 NEW STINE RD
Bakersfield, CA 93309
(661) 832-1667
✔ PECOS✔ Accepts MedicareSame address
Thomas Nelson, DPM
Podiatry
NPI 1629093653
1701 27TH ST
Bakersfield, CA 93301
(661) 322-2895
✔ PECOS✔ Accepts Medicare3.1 mi
Daniel Bank, D.P.M.
Podiatry
NPI 1669550372
1700 ADAMS AVE SUITE 204
Costa Mesa, CA 92626
(714) 434-1776
✔ PECOS✔ Accepts Medicare133 mi
Lawrence Chang, DPM
Podiatry
NPI 1295473254
1700 ADAMS AVE STE 204
Costa Mesa, CA 92626
(714) 434-1776
✔ PECOS✔ Accepts Medicare133 mi
Michael Mcginnis, M.D.
Pathology
NPI 1801841358
911 SUNSET DR
Hollister, CA 95023
(831) 637-5711
✔ PECOS✔ Accepts Medicare165 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2152724

Stockdale Podiatry Group, Inc · Bakersfield, CA
Active · expires Sep 8, 2027
CLIA Number05D2152724
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorMichael C. Mcginnis
Laboratory Phone(661) 832-1667
Laboratory LocationStockdale Podiatry Group, Inc110 New Stine Rd, Bakersfield, CA 93309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stockdale Podiatry Group Inc's NPI number?

The NPI number for Stockdale Podiatry Group Inc is 1013013002. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Stockdale Podiatry Group Inc located?

Stockdale Podiatry Group Inc is located at 110 New Stine Rd, Bakersfield, CA 93309. The listed phone number is (661) 832-1666.

What is Stockdale Podiatry Group Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Stockdale Podiatry Group Inc enrolled in Medicare?

Yes. Stockdale Podiatry Group Inc is registered in the Medicare PECOS enrollment system.

When is Stockdale Podiatry Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Stockdale Podiatry Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Stockdale Podiatry Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Podiatry (12), Nurse Practitioner (1) and Pathology (1). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stockdale Podiatry Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2152724) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stockdale Podiatry Group Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.