IndividualActive
Alireza Ghamgosar, D.P.M.
NPI 1295756674 · Foot & Ankle Surgery Podiatrist · San Mateo, CA
Provider details
- NPI number
- 1295756674
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- E4346 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
120 Saint Matthews Ave Ste a
San Mateo, CA 94401-3088
Phone: (650) 242-1689
Fax: (650) 477-2162
Approximate (ZIP-level) locationGet directions
Mailing address
120 Saint Matthews Ave Ste a
San Mateo, CA 94401-3088
Additional practice locations (1)
- 50 S San Mateo DrSuite 470San Mateo, CA 94401-3857Phone: (650) 342-8502
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.