OrganizationActive
Pnc Msk, PC
NPI 1356169593 · Foot & Ankle Surgery Podiatrist · Santa Rosa, CA
Provider details
- NPI number
- 1356169593
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Pnc Msk, PC
- Organization subpart
- Yes
- Authorized official
- Alexander Reyzelman, Rcmo(415) 292-0638
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1041 4th St Ste B
Santa Rosa, CA 95404-4329
Phone: (707) 237-3410
Street-level locationGet directions
Mailing address
1041 4th St Ste B
Santa Rosa, CA 95404-4329
Registry dates
- Enumerated
- 2024-09-27
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.