IndividualActive
Russell Pate, CPED
NPI 1306691597 · Pedorthist · Dublin, CA
Provider details
- NPI number
- 1306691597
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPED
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6483 Sierra Ln
Dublin, CA 94568-2797
Phone: (925) 820-0220
Approximate (ZIP-level) locationGet directions
Mailing address
6483 Sierra Ln
Dublin, CA 94568-2797
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-04-22
- Certified
- 2024-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.