Organization Active NPI

Vantage Foot and Ankle Center

  • Foot Surgery Podiatrist
  • Arcadia, CA
National Provider Identifier
1053966648
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
VANTAGE FOOT AND ANKLE CENTER
Practice address
550 W Duarte Rd Ste 5
Arcadia, CA 91007-7365
Phone
(626) 538-4505
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Shelley Gath, DPMNPI 1740226703
Title
Podiatrist
Phone
(626) 538-4505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

550 W Duarte Rd Ste 5
Arcadia, CA 91007-7365

Mailing address

550 W Duarte Rd Ste 5
Arcadia, CA 91007-7365
Phone (626) 538-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191024002659 CA Part B Supplier - Clinic/Group Practice 1153653118 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA
O20200108002071 CA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 1153653118 Practice locations: Arcadia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vantage Foot and Ankle Center550 W Duarte Rd, Arcadia, CA 91007-7365(626) 538-4505 Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Sep 3, 2019

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20017/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1053966648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 5",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077365",
            "telephone_number": "626-538-4505",
            "fax_number": "877-320-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 5",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077365",
            "telephone_number": "626-538-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "GATH",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "626-538-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.