Individual provider Active NPI

Kamran Jamshidinia, DPM, FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1265489546
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4331 Issued in CA
Practice address
2080 Century Park E
Suite 1208
Los Angeles, CA 90067-2001
Phone
(310) 247-9255
Fax
(310) 247-9240
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X E4331 CA
Radiology Podiatrist 213ER0200X E4331 CA
Sports Medicine Podiatrist 213ES0000X E4331 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E4331 CA Primary
Foot Surgery Podiatrist 213ES0131X E4331 CA

Addresses

Primary practice location

2080 Century Park E
Suite 1208
Los Angeles, CA 90067-2001

Mailing address

PO Box 16600
Beverly Hills, CA 90209-2600
Phone (310) 247-9255

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
I20060619000311 CA Practitioner - Podiatry 1254343098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2080 Century Park E
Suite 1508
Los Angeles, CA 90067-2018
Phone (310) 247-9255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue210
Removal of skin lesions13
Removal of nail tissue243
Removal or shaving of skin growth236
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woundcuremd CurrentSince Apr 2, 2024 Accepting new patients
Tower Foot & Ankle Surgery, Inc Foot & Ankle Surgery CurrentSince Feb 1, 2011 Accepting new patients
Path MD Inc PastSince Sep 1, 2012 Accepting new patients

Locations

2080 Century Park E
Ste 1508
Los Angeles, CA 90067
Phone (310) 247-9255

8757 Burton Way
West Hollywood, CA 90048
Phone (310) 278-8323

6221 Fallbrook Ave
Woodland Hills, CA 91367
Phone (626) 253-6344

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1265489546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16600",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092600",
            "telephone_number": "310-247-9255",
            "fax_number": "310-247-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-247-9255",
            "fax_number": "310-247-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMSHIDINIA",
        "first_name": "KAMRAN",
        "credential": "DPM, FACFAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "CA",
            "license": "E4331",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CA",
            "license": "E4331",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E4331",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4331",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.