Organization Active NPI

Foundation Medical Institute, a Professional Corporation

  • General Practice Physician
  • Tarzana, CA
National Provider Identifier
1164372595
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FOUNDATION MEDICAL INSTITUTE, A PROFESSIONAL CORPORATION
Practice address
5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157
Phone
(310) 571-5015
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Dr. Ritu Jain Viswanath, MD
Title
Managing Member/Chief Medical Offi
Phone
(310) 571-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5525 Etiwanda Ave Ste 228
Tarzana, CA 91356-6157

Mailing address

10573 W Pico Blvd # 822
Los Angeles, CA 90064-2333
Phone (310) 571-5015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1164372595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD # 822",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-571-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566157",
            "telephone_number": "310-571-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL INSTITUTE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "VISWANATH",
        "authorized_official_first_name": "RITU",
        "authorized_official_middle_name": "JAIN",
        "authorized_official_title_or_position": "MANAGING MEMBER/CHIEF MEDICAL OFFI",
        "authorized_official_telephone_number": "310-571-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 May 11, 2026; 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.