Individual provider Active NPI

Benjamin Tehrani, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1285993451
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5266 Issued in CA
Practice address
2514 S. Central Avenue
Los Angeles, CA 90011
Phone
(323) 843-3668
Fax
(323) 798-3044
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2137 TX
Foot & Ankle Surgery Podiatrist 213ES0103X E5266 CA Primary

Addresses

Primary practice location

2514 S. Central Avenue
Los Angeles, CA 90011

Mailing address

907 Westwood Blvd.
Suite 380
Los Angeles, CA 90024
Phone (323) 843-3668

Other names 1

  • Dr. Benjamin Tehrani Former name

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
I20160711001509 CA Practitioner - Podiatry 4587979802 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tehrani Foot and Ankle Inc 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions49
Removal of nail tissue388
Removal or shaving of skin growth500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5266CAMDFoot & Ankle Surgery Podiatrist
2137TXMDOrthotist

Practice roles (13 of 14)

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc CurrentSince Jul 11, 2016 Accepting new patients
Tehrani Foot and Ankle, Inc. Foot & Ankle Surgery CurrentSince Apr 28, 2016 Accepting new patients
Serra Community Medical Clinic, Inc CurrentSince Jul 11, 2016 Accepting new patients
Sherwin a Barvarz M D Inc CurrentSince Aug 25, 2024 Accepting new patients
Healthier Lifestyle Medical Group Inc CurrentSince Oct 16, 2023 Accepting new patients
St. Johns Well Child and Family Center CurrentSince May 28, 2018 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Jul 11, 2016 Accepting new patients
St. Johns Community Health CurrentSince May 28, 2018 Accepting new patients
Med Institute CurrentSince Jul 12, 2023 Accepting new patients
Alex Foxman, M.D., Inc. Current Accepting new patients
St. Johns Community Health Current Accepting new patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery PastSince Sep 13, 2020 Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

8929 Wilshire Blvd
Ste 302
Beverly Hills, CA 90211
Phone (310) 854-3580

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

150 S Rodeo Dr
Ste 255
Beverly Hills, CA 90212
Phone (310) 620-6030

120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

350 Arden Ave
Ste 100
Glendale, CA 91203
Phone (818) 433-8113

2512 S Central Ave
Ste 1
Los Angeles, CA 90011

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

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

5170 Sepulveda Blvd
Ste 140
Sherman Oaks, CA 91403
Phone (818) 728-4833

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bet216pcs@m1606.primeclinicalsystems.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBHDAD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1285993451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WESTWOOD BLVD.",
            "address_2": "SUITE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "323-843-3668",
            "fax_number": "323-798-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 S. CENTRAL AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90011",
            "telephone_number": "323-843-3668",
            "fax_number": "323-798-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2137",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "TEHRANI",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.