DELTA PODIATRY GROUP, INC.
NPI 1023169471
Podiatrist in Stockton, CA

Active since January 14, 2007
1205 N HUNTER ST, STOCKTON, CA 95202(209) 464-7367(209) 464-1801 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Delta Podiatry Group, Inc. NPPES

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

DELTA PODIATRY GROUP, INC. (NPI 1023169471) is a healthcare organization registered as a podiatrist in Stockton, California and active in the NPI registry since January 2007. The organization lists Lynn Robert Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1023169471
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDELTA PODIATRY GROUP, INC.
Location Address1205 N HUNTER STStockton, CA 95202-1409
Mailing Address1205 N Hunter StStockton, CA 95202-1409 · (209) 464-7367 · Fax (209) 464-1801
Fax(209) 464-1801
Organization SubpartNo
Authorized OfficialLynn Robert JohnsonPresident · (209) 464-7367
Enumeration DateJanuary 14, 2007
Last NPPES UpdateApril 2, 2009
NPI 1023169471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E1406
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1205 N HUNTER ST, Stockton, CA 95202

Other Identifiers 5

Medicare ID-Type UnspecifiedZZZ25718ZCA
OtherE1406CA · License Number
Medicare NSC0554330001CA
Medicare UPINT10941CA
MedicaidZZZ73253ZCA

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot Surgery)
1205 N HUNTER ST
STOCKTON, CA 95202
Podiatrist
1205 N HUNTER ST
STOCKTON, CA 95202

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 Delta Podiatry Group, Inc.'s NPI number?

The NPI number for Delta Podiatry Group, Inc. is 1023169471. It was assigned to this organization in the NPPES registry on January 14, 2007.

Where is Delta Podiatry Group, Inc. located?

Delta Podiatry Group, Inc. is located at 1205 N Hunter St, Stockton, CA 95202. The listed phone number is (209) 464-7367.

What is Delta Podiatry Group, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Delta Podiatry Group, Inc. was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.