Active NPI
Michael Blake Runyon, DPM
- Foot Surgery Podiatrist
- Van Nuys, CA
National Provider Identifier
1225006950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E1908
- Practice address
- 13701 Burbank Blvd
Van Nuys, CA 91401-5040 - Phone
- (818) 997-1216
- Fax
- (818) 997-4458
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E1908 | CA | Primary |
Addresses
Primary practice location
13701 Burbank Blvd
Van Nuys, CA 91401-5040
Mailing address
13701 Burbank Blvd
Van Nuys, CA 91401-5040
Phone (818) 997-1216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E1908 | Other | CA | CALIFORNIA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1908 | CA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carewell Med Supply | Past | Accepting new patients | |
| Tae Hyun Kim DPM Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Van Nuys, CA
- NPI 1326835190
-
- Foot & Ankle Surgery Podiatrist
- Van Nuys, CA
- NPI 1295967719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225006950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13701 BURBANK BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914015040",
"telephone_number": "818-997-1216",
"fax_number": "818-997-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 BURBANK BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914015040",
"telephone_number": "818-997-1216",
"fax_number": "818-997-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYON",
"first_name": "MICHAEL",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E1908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "E1908",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.