AMEHA T. JOBA, DPM, PC NPI 1730683418

Podiatrist (Foot & Ankle Surgery) in Rohnert Park, CA

NPI 1730683418 Organization Podiatrist Foot & Ankle Surgery

About AMEHA T. JOBA, DPM, PC

Ameha T. Joba,dpm, Pc is a provider established in Rohnert Park, California specializing in podiatrist (foot & ankle surgery) . The NPI number of Ameha T. Joba,dpm, Pc is 1730683418 and was assigned on March 2018. The practitioner's primary taxonomy code is 213ES0103X with license number E5244 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Ameha T. Joba,dpm, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ameha Joba Dpm (Doctor)

NPI

1730683418

Provider NameAMEHA T. JOBA,DPM, PC
Provider Location Address1350 MEDICAL CENTER DR ROHNERT PARK, CA 94928
Provider Mailing Address1350 MEDICAL CENTER DR ROHNERT PARK, CA 94928
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-19-2018
Last Update Date03-19-2018


Primary Taxonomy

Taxonomy Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery
License No.E5244
License StateCA

Business Address

AMEHA T. JOBA,DPM, PC
1350 MEDICAL CENTER DR
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 586-9300

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Mailing Address

AMEHA T. JOBA,DPM, PC
1350 MEDICAL CENTER DR
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 586-9300



Authorized Official

Authorized Official Name AMEHA JOBA DPM
Authorized Official TitleDOCTOR
Authorized Official Phone(707) 586-9300

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902280928STEP UP PODIATRY PROFESSIONAL CORPORATION
Organization
Podiatrist (Foot & Ankle Surgery)1350 MEDICAL CENTER DR STE B
ROHNERT PARK, CA 94928
(707) 586-9300
1043506140DR. AMEHA TEKLU JOBA DPM
Individual
Podiatrist (Foot & Ankle Surgery)1350 MEDICAL CENTER DR STE B
ROHNERT PARK, CA 94928
(707) 586-9300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.