Organization Active NPI

Tower Foot & Ankle Surgery, Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1215219183
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4331 Issued in CA
Legal business name
TOWER FOOT & ANKLE SURGERY, INC
Practice address
2080 Century Park E
Suite 1508
Los Angeles, CA 90067-2001
Phone
(310) 247-9255
Fax
(310) 247-9240
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Kamran Jamshidinia, DPMNPI 1265489546
Title
President
Phone
(805) 390-0746

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 E4331 CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 1508
Los Angeles, CA 90067-2001

Mailing address

P.O. Box 16600
Beverly Hills, CA 90209
Phone (805) 390-0746

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120220000818 CA Part B Supplier - Clinic/Group Practice 3274791405 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA
O20120502000082 CA DME Supplier - Physician - Unknown Physician Specialty 3274791405 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1215219183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16600",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90209",
            "telephone_number": "805-390-0746",
            "fax_number": "310-247-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1508",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-247-9255",
            "fax_number": "310-247-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER FOOT & ANKLE SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDINIA",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-390-0746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.