HUMBOLDT FOOT AND ANKLE
NPI 1508422015
Podiatrist - Foot & Ankle Surgery in Eureka, CA
About Humboldt Foot And Ankle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUMBOLDT FOOT AND ANKLE (NPI 1508422015) is a healthcare organization registered as a foot & ankle surgery in Eureka, California and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Fortuna and lists Rebecca Deyhim, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Humboldt Foot And Ankle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Humboldt Foot And Ankle, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Humboldt Foot & Ankle PC's NPI number?
The NPI number for Humboldt Foot & Ankle PC is 1508422015. It was assigned to this organization in the NPPES registry on May 10, 2019. The provider is doing business as Humboldt Foot And Ankle.
Where is Humboldt Foot & Ankle PC located?
Humboldt Foot & Ankle PC is located at 2504 Harrison Ave Ste A, Eureka, CA 95501. The listed phone number is (707) 725-5223.
What is Humboldt Foot & Ankle PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Humboldt Foot & Ankle PC enrolled in Medicare?
Yes. Humboldt Foot & Ankle PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Humboldt Foot & Ankle PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Humboldt Foot & Ankle PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Humboldt Foot & Ankle PC was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Humboldt Foot And Ankle · NPI 1508422015
Foot & Ankle Surgery organization in Eureka, California. Organization record, active in the CMS NPPES registry since May 10, 2019.
## Identity
- **NPI:** 1508422015 (Entity type: Organization)
- **Enumerated:** May 10, 2019
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Legal business name:** Humboldt Foot & Ankle Pc
- **Organization subpart:** No
- **Authorized official:** Rebecca Deyhim, PRACTICE MANAGER
## Practice location
- **Address:** 2504 HARRISON AVE STE A, Eureka, CA 95501-3221
- **Phone:** (707) 725-5223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508422015) · Data from the CMS NPPES public registry.