Advanced Foot and Ankle Institute, a Podiatry Corporation
Organization Active NPI Foot & Ankle Surgery Podiatrist · Simi Valley, CA
NPI 1285856401 · NPPES record last updated Aug 25, 2008
Key facts
- NPI
- 1285856401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E4547 (CA)
- Legal business name
- ADVANCED FOOT AND ANKLE INSTITUTE, A PODIATRY CORPORATION
- Practice address
- 2840 E Los Angeles Ave
Simi Valley, CA 93065-3937 - Phone
- (805) 526-8360
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Payman Hoshyarsar
- Title
- President
- Phone
- (818) 723-7862
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080529000325 | CA | Part B Supplier - Clinic/Group Practice | 2264502574 |
Receives reassigned benefits from 1 practitioner Practice locations: El Monte, CA |
National Provider Directory
Locations
10816 Valley Blvd
El Monte, CA 91731
Phone (626) 401-2775
1240 N Hacienda Blvd
Ste 106
La Puente, CA 91744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | E4547 | CA | Yes |
Addresses
Primary practice location
2840 E Los Angeles Ave
Simi Valley, CA 93065-3937
Mailing address
PO Box 280748
Northridge, CA 91328-0748
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W22394 | Other | PTAN | |
| W22395 | Other | PTAN # |
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- Rachel Adelpour
- Advanced Comfort Home Healthcare, Inc.
- Advanced Nursing Services Inc
- Advanced Pain Medical Group, Inc
- Advanced Pain Medical Group, Inc
- Advanced Physical Therapy & Rehabilitation, Inc.
- Advanced Psychiatric TMS, LLC
All providers in Simi Valley, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.