JACK ANDREW HARVEY DPM, INC.
NPI 1689052482
Podiatrist - Foot & Ankle Surgery in Manteca, CA
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
Specialties & Licenses
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)
Jack Andrew Harvey Dpm, Inc. 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 Jack Andrew Harvey DPM, Inc., 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 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.
Is Jack Andrew Harvey Dpm, Inc. enrolled in Medicare?
Yes. Jack Andrew Harvey Dpm, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jack Andrew Harvey Dpm, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jack Andrew Harvey Dpm, Inc.. 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 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.
# Jack Andrew Harvey Dpm, Inc. · NPI 1689052482
Foot & Ankle Surgery organization in Manteca, California. Organization record, active in the CMS NPPES registry since May 12, 2015.
## Identity
- **NPI:** 1689052482 (Entity type: Organization)
- **Enumerated:** May 12, 2015
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Jack Harvey, PRESIDENT
## Practice location
- **Address:** 1210 E NORTH ST, Manteca, CA 95336-4962
- **Phone:** (209) 823-2700 · **Fax:** (209) 823-2779
## 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:** May 21, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1689052482) · Data from the CMS NPPES public registry.