North Bay Foot & Ankle Center Inc
NPI 1912017021 · Podiatrist · Petaluma, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Bay Foot & Ankle Center Inc is a Podiatrist organization in Petaluma, CA (NPI 1912017021).
Provider details
- NPI number
- 1912017021
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Peter Redko, President(707) 769-8481
- License
- E1458 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2013-05-08
Frequently asked questions
- What is North Bay Foot & Ankle Center Inc's NPI number?
- North Bay Foot & Ankle Center Inc's National Provider Identifier (NPI) is 1912017021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Bay Foot & Ankle Center Inc?
- North Bay Foot & Ankle Center Inc is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is North Bay Foot & Ankle Center Inc located?
- North Bay Foot & Ankle Center Inc's practice location on file with NPPES is 1400 Professional Dr, Petaluma, CA 94954.
- What is North Bay Foot & Ankle Center Inc's phone number?
- The practice phone number listed in the NPPES registry for North Bay Foot & Ankle Center Inc is (707) 769-8481.
- Does North Bay Foot & Ankle Center Inc accept Medicare?
- North Bay Foot & Ankle Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North Bay Foot & Ankle Center Inc?
- The authorized official listed on North Bay Foot & Ankle Center Inc's NPPES record is Peter Redko, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Bay Foot & Ankle Center Inc's NPI active?
- Yes — North Bay Foot & Ankle Center Inc's NPI (1912017021) is active in the NPPES registry as of the last update on 2013-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.