Active NPI
International Center for Minimally Invasive Foot Surgery
- Foot & Ankle Surgery Podiatrist
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4728
- Legal business name
- INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY
- Practice address
- 23164 Ventura Blvd
Woodland Hills, CA 91364-1101 - Phone
- (818) 914-5686
- Fax
- (818) 408-2452
- NPI assigned
- Feb 26, 2016
- 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
- Dr. Alireza Khosroabadi, DPM
- Title
- Ceo
- Phone
- (818) 408-2800
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 | E4728 | CA | Primary |
Addresses
Primary practice location
23164 Ventura Blvd
Woodland Hills, CA 91364-1101
Mailing address
23164 Ventura Blvd
Woodland Hills, CA 91364-1101
Phone (818) 914-5686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E4728 | Other | CA | LICENSE |
| 1841490620 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201106000646 | CA | Part B Supplier - Clinic/Group Practice | 7113337924 |
Receives reassigned benefits from 6 practitioners Practice locations: Woodland Hills, CA |
National Provider Directory
National Provider DirectoryLocations
23164 Ventura Blvd
Ste C
Woodland Hills, CA 91364
Phone (818) 629-8988
23164 Ventura Blvd
Woodland Hls, CA 91364
Phone (818) 914-5686
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Woodland Hills, CA
- NPI 1841490620
CA, Foot & Ankle Surgery
-
- Foot Surgery Podiatrist
- Westlake Village, CA
- NPI 1417145525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1083074579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23164 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641101",
"telephone_number": "818-914-5686",
"fax_number": "818-914-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23164 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641101",
"telephone_number": "818-914-5686",
"fax_number": "818-408-2452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "KHOSROABADI",
"authorized_official_first_name": "ALIREZA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-408-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E4728",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1841490620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
- Integrated Nutrition Consultants LLC
- Integrative Psychology Associates, Inc.
- Integrative Touch Physical Therapy Inc.
- Intel Medical Group Inc
- Intensive Outpatient Eating Disorder Programs, Inc,
- Intimate Image No 1 Inc
- Intuitive Psychotherapy Associates, Licensed Clinical Social Worker PC
- Arika Inugami
- Cesar David Iraheta Urbina
- Iris Healing Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.