Active NPI
Western Podmed Clinic Inc
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4513
- Legal business name
- WESTERN PODMED CLINIC INC
- Practice address
- 2625 W Alameda Ave
Ste 314
Burbank, CA 91505-4822 - Phone
- (818) 841-5100
- Fax
- (818) 841-8402
- NPI assigned
- Jan 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Moradian, DPM
- Title
- President
- Phone
- (818) 841-5100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4513 | CA | Primary |
Addresses
Primary practice location
2625 W Alameda Ave
Ste 314
Burbank, CA 91505-4822
Mailing address
2625 W Alameda Ave
Ste 314
Burbank, CA 91505-4822
Phone (818) 841-5100
National Provider Directory
National Provider Directory- Tax ID family
- Western Podmed Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Glendale, CA
- NPI 1316185788
Locations
2625 W Alameda Ave
Ste 314
Burbank, CA 91505
Phone (818) 841-5100
Interoperability endpoints
- https://api.platform.athenahealth.com/14402/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Glendale, CA
- NPI 1780631523
-
- Podiatrist
- Burbank, CA
- NPI 1881708824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232496000000",
"number": "1063659704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE",
"address_2": "STE 314",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054822",
"telephone_number": "818-841-5100",
"fax_number": "818-841-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE",
"address_2": "STE 314",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054822",
"telephone_number": "818-841-5100",
"fax_number": "818-841-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PODMED CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-21",
"status": "A",
"authorized_official_last_name": "MORADIAN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-841-5100",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.