Organization Active NPI

Romina Vincenti, DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1215303615
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5171 Issued in CA
Legal business name
ROMINA VINCENTI, DPM INC
Practice address
9100 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-4849
Phone
(310) 645-3338
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Authorized official

Name
Romina VincentiNPI 1124372388
Title
DPM/President
Phone
(818) 687-2859

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 E5171 CA Primary

Addresses

Primary practice location

9100 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-4849

Mailing address

9100 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-4849

Other practice location 1

4717 Longridge Ave
Sherman Oaks, CA 91423-3221
Phone (818) 687-2859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150930003103 CA Part B Supplier - Clinic/Group Practice 1355659939 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1215303615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 S SEPULVEDA BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 S SEPULVEDA BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454849",
            "telephone_number": "310-645-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4717 Longridge Ave",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914233221",
            "country_code": "US",
            "telephone_number": "818-687-2859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROMINA VINCENTI, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "VINCENTI",
        "authorized_official_first_name": "ROMINA",
        "authorized_official_title_or_position": "DPM/PRESIDENT",
        "authorized_official_telephone_number": "818-687-2859"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5171",
            "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 Dec 21, 2024; 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.