IndividualActive
Nicole Surdock, D.P.M.
NPI 1174674436 · Primary Podiatric Medicine Podiatrist · Watsonville, CA
Provider details
- NPI number
- 1174674436
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- Yes
- License
- E4802 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
47 Penny Ln
Suite 1
Watsonville, CA 95076-6055
Phone: (831) 728-8844
Approximate (ZIP-level) locationGet directions
Mailing address
102 Pebble Beach Ct
Aptos, CA 95003-5724
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2012-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.