Individual provider Active NPI

Sam Sanandaji, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1063460616
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4652 Issued in CA
Practice address
8631 W 3Rd St
Suite 303 E
Los Angeles, CA 90048-5901
Phone
(310) 360-0001
Fax
(310) 360-0135
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4652 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 303 E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St
Suite 940 E
Los Angeles, CA 90048-5901
Phone (310) 360-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000309 CA Practitioner - Podiatry 0840299780 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16055 Ventura Blvd
Suite 444
Encino, CA 91436-2608
Phone (818) 210-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue340
Removal of skin lesions1-10
Removal of nail tissue971
Removal or shaving of skin growth1053
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4652CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Care Center, Inc. Foot & Ankle Surgery CurrentSince Sep 24, 2018 Accepting new patients
Donald P Feigelson DPM,Inc PastSince Oct 1, 2008 Accepting new patients
Sam Sanandaji, DPM Past Accepting new patients
Sam Sanandaji, DPM, Inc. Foot & Ankle Surgery PastSince Jan 15, 2008 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

125 N Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 550-8000

16055 Ventura Blvd
Ste 444
Encino, CA 91436
Phone (818) 210-3668

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1063460616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 940 E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-360-0001",
            "fax_number": "310-360-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 303 E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-360-0001",
            "fax_number": "310-360-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANANDAJI",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.