EAST BAY PODIATRY, PC
NPI 1255961793
Podiatrist - Foot & Ankle Surgery in Concord, CA

Active since January 23, 2020
2485 HIGH SCHOOL AVE STE 222, CONCORD, CA 94520(925) 685-3117 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2021, Jan 23, 2020 (2 updates tracked since 2020).

About East Bay Podiatry, Pc NPPES

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

EAST BAY PODIATRY, PC (NPI 1255961793), doing business as Colleen M. Kenney, D.p.m., is a healthcare organization registered as a foot & ankle surgery in Concord, California and active in the NPI registry since January 2020. The organization lists Colleen M Kenney, President, as its authorized official.

NPPES Registry Identity

NPI1255961793
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEAST BAY PODIATRY, PC
Location Address2485 HIGH SCHOOL AVE STE 222Concord, CA 94520-1813
Mailing Address2485 High School Ave Ste 222Concord, CA 94520-1813 · (925) 685-3117
Organization SubpartNo
Authorized OfficialColleen M KenneyPresident · (925) 685-3117
Enumeration DateJanuary 23, 2020
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1255961793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X
2485 HIGH SCHOOL AVE STE 222, Concord, CA 94520

Other Names 1

Former Legal Business NameColleen M. Kenney, D.p.m.

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories East Bay Podiatry, PC carries, from the Medicare DMEPOS supplier directory.

East Bay Podiatry, PC

DMEPOS supplier · Concord, CA

Accepts Medicare assignment

East Bay Podiatry, PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20408087
Medicare Participant SinceJanuary 20, 2021
Supplier Location2485 High School Ave Ste 222Concord, CA 94520
Provider TypePhysician – Podiatry
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 & Ankle Surgery)
2485 HIGH SCHOOL AVE STE 222
CONCORD, CA 94520
Podiatrist (Foot & Ankle Surgery)
2485 HIGH SCHOOL AVE STE 222
CONCORD, CA 94520

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 East Bay Podiatry, PC's NPI number?

The NPI number for East Bay Podiatry, PC is 1255961793. It was assigned to this organization in the NPPES registry on January 23, 2020. The provider was formerly known as Colleen M. Kenney, D.P.M..

Where is East Bay Podiatry, PC located?

East Bay Podiatry, PC is located at 2485 High School Ave Ste 222, Concord, CA 94520. The listed phone number is (925) 685-3117.

What is East Bay Podiatry, PC's specialty?

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

Does East Bay Podiatry, PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, East Bay Podiatry, PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for East Bay Podiatry, PC was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.