Individual provider Active NPI

Payman R Hoshyarsar

  • Foot & Ankle Surgery Podiatrist
  • El Monte, CA
National Provider Identifier
1255488029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4547 Issued in CA
Practice address
11800 Valley Blvd
El Monte, CA 91732-3040
Phone
(626) 401-2775
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 E4547 CA Primary

Addresses

Primary practice location

11800 Valley Blvd
El Monte, CA 91732-3040

Mailing address

PO Box 280748
Northridge, CA 91328-0748

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
I20040909001222 CA Practitioner - Podiatry 7810963865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10816 Valley Blvd
El Monte, CA 91731-2513
Phone (626) 453-3555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue460
Removal or shaving of skin growth136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4547CAMDProfessional Counselor
E4547CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Institute, a Podiatry Corporation Foot & Ankle Surgery CurrentSince Jan 1, 2008 Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
Universal Foot and Ankle Care, a Podiatry Corporation Foot & Ankle Surgery Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients

Locations

10816 Valley Blvd
El Monte, CA 91731
Phone (626) 401-2775

11800 Valley Blvd
El Monte, CA 91732
Phone (626) 401-2775

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255488029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280748",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913280748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323040",
            "telephone_number": "626-401-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSHYARSAR",
        "first_name": "PAYMAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.