Provider Demographics
NPI:1124120654
Name:TOES ON THE GO INC
Entity type:Organization
Organization Name:TOES ON THE GO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:KRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:831-425-8637
Mailing Address - Street 1:26615 CARMEL CENTER PL STE 103
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8654
Mailing Address - Country:US
Mailing Address - Phone:831-425-8637
Mailing Address - Fax:831-425-8634
Practice Address - Street 1:26615 CARMEL CENTER PL STE 103
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8654
Practice Address - Country:US
Practice Address - Phone:931-373-8637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3521213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1124120654OtherGROUP NPI
CAAU219ZOtherMEDICARE PTAN- INDIVIDUAL
CA1861499782OtherINDIVIDUAL NPI
CAAU219ZOtherMEDICARE PTAN- INDIVIDUAL
CABB074Medicare PIN