Beverly Foot Care Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BEVERLY FOOT CARE CENTER

Practice address

2105 Beverly Blvd Ste 233C
Los Angeles, CA 90057-2216

Phone

(310) 877-9114

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Samira Mehrizi, DPM

Title

Medical Director

Phone

(310) 877-9114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1164092367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 233C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "310-877-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 233C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "310-877-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MEHRIZI",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-877-9114",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Atlantic Medical Center Inc
• Beverly Cardiology Group
• Beverly Century Surgical Center
• Beverly Community Clinic
• Beverly Dental Drive Care
• Beverly Glen Pharmacy Inc
• Beverly Glen Pharmacy Inc
• Beverly Grove Vision Care Optometry, Inc
• Beverly Health & Birthing Center
• Beverly Health Care Inc

• All providers in Los Angeles, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.