Organization Active NPI

Foot and Ankle Surgical Specialist Inc.

  • Podiatric Clinic/Center
  • Chatsworth, CA
National Provider Identifier
1245931138
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
FOOT AND ANKLE SURGICAL SPECIALIST INC.
Practice address
9901 Lurline Ave Apt 221
Chatsworth, CA 91311-4600
Phone
(801) 623-3347
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Adam K Brown, DPM
Title
President
Phone
(801) 623-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

9901 Lurline Ave Apt 221
Chatsworth, CA 91311-4600

Mailing address

9901 Lurline Ave Apt 221
Chatsworth, CA 91311-4600
Phone (801) 623-3347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1245931138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LURLINE AVE APT 221",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114600",
            "telephone_number": "801-623-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 LURLINE AVE APT 221",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114600",
            "telephone_number": "801-623-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SURGICAL SPECIALIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-623-3347",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.