Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Andrew Harvey, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033475678

Jack Andrew Harvey, DPM is a Podiatry in Manteca, California. Graduated from California School of Podiatric Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2012
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1234 E North St Ste 106
Manteca, CA 95336-4961
Phone: (209) 823-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5204 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence E-5204 (CA)
Podiatrist Taxonomy 213E00000X · Licence E-5204 (CA)

Record details

NPI number1033475678
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 9, 2012
Last updated in NPPESAugust 17, 2016
Mailing address1234 E North St, Ste 106, Manteca, CA 95336-4961

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manteca