Organization Active NPI

Tarzana Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Tarzana, CA
National Provider Identifier
1124617576
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TARZANA FOOT AND ANKLE CENTER INC
Practice address
18607 Ventura Blvd Ste 202
Tarzana, CA 91356-4174
Phone
(818) 650-0004
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Dr. Farid Didari, DPMNPI 1477944114
Title
Ceo
Phone
(818) 650-0004

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 & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

18607 Ventura Blvd Ste 202
Tarzana, CA 91356-4174

Mailing address

3521 Lomita Blvd Ste 103
Torrance, CA 90505-5041
Phone (310) 534-9131

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210204002923 CA Part B Supplier - Clinic/Group Practice 4688088586 Receives reassigned benefits from 11 practitioners
Practice locations: Tarzana, CA
O20210216000978 CA DME Supplier - Physician - Podiatry 4688088586 Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

1141 W Redondo Beach Blvd
Ste 206
Gardena, CA 90247
Phone (310) 329-4183

18607 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 650-0004

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1124617576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LOMITA BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055041",
            "telephone_number": "310-534-9131",
            "fax_number": "310-534-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564174",
            "telephone_number": "818-650-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA FOOT AND ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "DIDARI",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-650-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.

Verify at the official NPI Registry.