Glendale Foot and Ankle PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GLENDALE FOOT AND ANKLE PC

Practice address

26235 Ravenhill Rd
Santa Clarita, CA 91387-4046

Phone

(917) 687-7528

NPI assigned

Mar 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aleksander Lavrenov, DPMNPI 1992937379

Title

Ceo

Phone

(917) 687-7528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aleksander Valentinovich Lavrenov, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
  • NPI 1992937379
  Medicare reassignment NPD Authorized official
• Zarui Ter-Pogosyan

  • Nurse Practitioner
  • Van Nuys, CA
  • NPI 1861094039
  Medicare reassignment NPD
• Oksana Mazurova, FNP

  • Family Nurse Practitioner
  • North Hollywood, CA
  • NPI 1699487090
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1013717669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26235 RAVENHILL RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913874046",
            "telephone_number": "917-687-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26235 RAVENHILL RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913874046",
            "telephone_number": "917-687-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "LAVRENOV",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-687-7528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trace Gilson
• Gina Dorfman, D.D.S., a.P.C.
• David B. Girard, PT
• Jennifer Girardi, MS OTR/L
• GLB Medical Consulting, Inc
• Kathryn Ann Glickman, M.F.T.
• Glyd Therapy
• Patrick Adam Godines, ATC
• Atin Tina Golbolakh
• Golden Oak Pediatrics

• Foot & Ankle Surgery Podiatrist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.