FALLBROOK PODIATRY, INC
NPI 1861825523
Podiatrist - Primary Podiatric Medicine in Fallbrook, CA
About Fallbrook Podiatry, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALLBROOK PODIATRY, INC (NPI 1861825523) is a healthcare organization registered as a primary podiatric medicine in Fallbrook, California and active in the NPI registry since August 2013. The organization lists Grigoriy N Patish, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fallbrook Podiatry, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fallbrook Podiatry, 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 Fallbrook Podiatry, Inc's NPI number?
The NPI number for Fallbrook Podiatry, Inc is 1861825523. It was assigned to this organization in the NPPES registry on August 16, 2013.
Where is Fallbrook Podiatry, Inc located?
Fallbrook Podiatry, Inc is located at 407 Potter St Ste A, Fallbrook, CA 92028. The listed phone number is (760) 728-4800.
What is Fallbrook Podiatry, Inc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Fallbrook Podiatry, Inc enrolled in Medicare?
Yes. Fallbrook Podiatry, Inc is registered in the Medicare PECOS enrollment system.
When is Fallbrook Podiatry, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fallbrook Podiatry, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Fallbrook Podiatry, 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 Fallbrook Podiatry, Inc was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Fallbrook Podiatry, Inc · NPI 1861825523
Primary Podiatric Medicine organization in Fallbrook, California. Organization record, active in the CMS NPPES registry since August 16, 2013.
## Identity
- **NPI:** 1861825523 (Entity type: Organization)
- **Enumerated:** August 16, 2013
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Grigoriy Patish, OWNER/PROVIDER
## Practice location
- **Address:** 407 POTTER ST STE A, Fallbrook, CA 92028-3086
- **Phone:** (760) 728-4800 · **Fax:** (760) 728-0061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** March 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861825523) · Data from the CMS NPPES public registry.