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JACK ANDREW HARVEY DPM, INC.
NPI 1689052482
Podiatrist - Foot & Ankle Surgery in Manteca, CA

Active since May 12, 2015
1210 E NORTH ST, MANTECA, CA 95336(209) 823-2700(209) 823-2779 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Andrew Harvey Dpm, Inc. NPPES

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

JACK ANDREW HARVEY DPM, INC. (NPI 1689052482) is a healthcare organization registered as a foot & ankle surgery in Manteca, California and active in the NPI registry since May 2015. The organization lists Jack Andrew Harvey, President, as its authorized official.

NPPES Registry Identity

NPI1689052482
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJACK ANDREW HARVEY DPM, INC.
Location Address1210 E NORTH STManteca, CA 95336-4962
Mailing Address1210 E North StManteca, CA 95336-4962 · (209) 823-2700 · Fax (209) 823-2779
Phone(209) 823-2700
Fax(209) 823-2779
Organization SubpartNo
Authorized OfficialJack Andrew HarveyPresident · (209) 823-2700
Enumeration DateMay 12, 2015
Last NPPES UpdateMay 21, 2015
✔ NPI 1689052482 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
License✔ Licensed in CA · E5204
1210 E NORTH ST, Manteca, CA 95336
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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 3

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

DR. HOWARD CHARLES MILLER DPM
Podiatrist
1210 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 823-9378
HOWARD C. MILLER, D.P.M., INC.
Podiatrist
1210 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 823-9378
DR. CARMELITA CASISON NISPEROS M.D.
Pediatrics
1210 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 717-2100

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 Jack Andrew Harvey Dpm, Inc.'s NPI number?

The NPI number for Jack Andrew Harvey Dpm, Inc. is 1689052482. It was assigned to this organization in the NPPES registry on May 12, 2015.

Where is Jack Andrew Harvey Dpm, Inc. located?

Jack Andrew Harvey Dpm, Inc. is located at 1210 E North St, Manteca, CA 95336. The listed phone number is (209) 823-2700.

What is Jack Andrew Harvey Dpm, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Andrew Harvey Dpm, Inc. was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.