NPIMap

Organization Active NPI

Rabin Beral DPM a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Gardena, CA
National Provider Identifier
1215027446
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RABIN BERAL DPM A PODIATRY CORPORATION
Practice address
1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247-3583
Phone
(310) 515-8155
Fax
(310) 515-8833
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Rabin Beral, DPMNPI 1154361871
Title
President
Phone
(310) 515-8155

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

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247-3583

Mailing address

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247-3583
Phone (310) 515-8155

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090518000622 CA Part B Supplier - Clinic/Group Practice 0345216065 Receives reassigned benefits from 13 practitioners
Practice locations: Gardena, CA; Upland, CA
O20100930047642 CA DME Supplier - Physician - PodiatryDME Supplier - Orthotic Personnel 0345216065 Practice locations: Gardena, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rabin Beral DPM a Podiatry Corporat1141 W Redondo Beach Blvd, Gardena, CA 90247-3584(310) 515-8155 Canes and/or Crutches|Patient Lifts|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Aug 1, 2004

National Provider Directory

National Provider Directory

Locations

1300 W 155th St
Ste 109
Gardena, CA 90247
Phone (310) 767-1538

1300 W 155th St
Ste 108
Gardena, CA 90247
Phone (310) 323-6767

11631 Victory Blvd
Ste 104
North Hollywood, CA 91606
Phone (818) 570-0901

11819 Wilshire Blvd
Ste 209
West Los Angeles, CA 90025
Phone (310) 268-7707

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1215027446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "STE 302",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473583",
            "telephone_number": "310-515-8155",
            "fax_number": "310-515-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "STE 302",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473583",
            "telephone_number": "310-515-8155",
            "fax_number": "310-515-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABIN BERAL DPM A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BERAL",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-515-8155",
        "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 Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.