Individual provider Active NPI

Nathan Siavash Solomon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1235749953
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
105737-01 Issued in NY
Practice address
2514 S Central Ave
Los Angeles, CA 90011-1635
Phone
(323) 843-3668
NPI assigned
Aug 6, 2020
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 105737-01 NY Primary

Addresses

Primary practice location

2514 S Central Ave
Los Angeles, CA 90011-1635

Mailing address

2514 S Central Ave
Los Angeles, CA 90011-1635
Phone (323) 843-3668

Other practice location 1

12826 Victory Blvd
North Hollywood, CA 91606-3065
Phone (818) 583-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311003460 CA Practitioner - Podiatry 0941655682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians
Dazzle Health P CGroup PAC ID 4082146634, 26 clinicians
Tehrani Foot and Ankle IncGroup PAC ID 9739468968, 2 clinicians

Practice addresses (Care Compare)

12520 Magnolia Blvd
Suite 304
Valley Village, CA 91607-2355
Phone (818) 452-9902

12826 Victory Blvd
North Hollywood, CA 91606-3065
Phone (818) 583-0055

18650 Macarthur Blvd
Irvine, CA 92612-1244
Phone (412) 996-9012

2514 S Central Ave
Los Angeles, CA 90011-1635
Phone (323) 843-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue86
Removal of skin lesions1-10
Removal of nail tissue1865
Removal or shaving of skin growth1381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105737-01NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery CurrentSince Apr 16, 2025 Accepting new patients
Solomon Aesthetic Podiatry PC Foot & Ankle Surgery CurrentSince Sep 29, 2025 Accepting new patients
Tehrani Foot and Ankle, Inc. Foot & Ankle Surgery CurrentSince Mar 1, 2025 Accepting new patients
Home Foot Care, Inc. CurrentSince Apr 16, 2025 Accepting new patients

Locations

2514 S Central Ave
Los Angeles, CA 90011
Phone (323) 843-3668

907 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 740-5967

12826 Victory Blvd
North Hollywood, CA 91606
Phone (310) 499-8676

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1235749953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111635",
            "telephone_number": "323-843-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111635",
            "telephone_number": "323-843-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12826 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063065",
            "country_code": "US",
            "telephone_number": "818-583-0055",
            "fax_number": "310-510-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "NATHAN",
        "middle_name": "SIAVASH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "105737-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.