JAMES W STAVOSKY DPM
NPI 1639125362
Podiatrist - Foot & Ankle Surgery in Daly City, CA
About James W Stavosky Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES W STAVOSKY DPM (NPI 1639125362) is a healthcare organization registered as a foot & ankle surgery in Daly City, California and active in the NPI registry since May 2006. The organization lists James Stavosky, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
James W Stavosky Dpm 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 James W Stavosky DPM, 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 James W Stavosky Dpm's NPI number?
The NPI number for James W Stavosky Dpm is 1639125362. It was assigned to this organization in the NPPES registry on May 25, 2006.
Where is James W Stavosky Dpm located?
James W Stavosky Dpm is located at 1800 Sullivan Ave Suite 106, Daly City, CA 94015. The listed phone number is (650) 755-3338.
What is James W Stavosky Dpm's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is James W Stavosky Dpm enrolled in Medicare?
Yes. James W Stavosky Dpm is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through James W Stavosky Dpm?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to James W Stavosky Dpm. 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 James W Stavosky Dpm was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# James W Stavosky Dpm · NPI 1639125362
Foot & Ankle Surgery organization in Daly City, California. Organization record, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1639125362 (Entity type: Organization)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** James Stavosky, PRESIDENT
## Practice location
- **Address:** 1800 SULLIVAN AVE, SUITE 106, Daly City, CA 94015-2228
- **Phone:** (650) 755-3338 · **Fax:** (650) 755-7892
## 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:** December 9, 2025
- **Other identifiers:** Medicaid GRE001340 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639125362) · Data from the CMS NPPES public registry.