Foot Pain Management Inc a Professional Corporation

Organization Active NPI Foot & Ankle Surgery Podiatrist · N Hollywood, CA

NPI 1114461514 · NPPES record last updated Apr 22, 2022

Key facts

NPI
1114461514
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
E1360 (CA)
Legal business name
FOOT PAIN MANAGEMENT INC A PROFESSIONAL CORPORATION
Practice address
5907 Lankershim Blvd
N Hollywood, CA 91601-1006
Phone
(818) 980-3073
NPI assigned
Dec 5, 2016
Organization subpart
No

Authorized official

Name
Dr. Leonard Silverberg, MD
Title
Ceo
Phone
(818) 980-3073

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170125002592 CA Part B Supplier - Clinic/Group Practice 3072895176 Receives reassigned benefits from 3 practitioners
Practice locations: North Hollywood, CA; Riverside, CA

National Provider Directory

Locations

5907 Lankershim Blvd
North Hollywood, CA 91601
Phone (818) 980-3073

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP
213ES0103X E1360 CA Yes

Addresses

Primary practice location

5907 Lankershim Blvd
N Hollywood, CA 91601-1006

Mailing address

5907 Lankershim Blvd
N Hollywood, CA 91601-1006
Phone (818) 980-3073

Other identifiers

IdentifierTypeStateIssuer
E1360OtherCACALIFORNIA MEDICAL BOARD

Other providers in N Hollywood, CA

All providers in N Hollywood, CA · Foot & Ankle Surgery Podiatrist in California

Sources for this page

Verify at the official NPI Registry.