Individual provider Active NPI

Alex Dawoodian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oxnard, CA
National Provider Identifier
1295102887
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5428 Issued in CA
Practice address
903 W 7TH St
Oxnard, CA 93030-6755
Phone
(747) 263-9696
Fax
(818) 475-1406
NPI assigned
Aug 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 E5428 CA Primary

Addresses

Primary practice location

903 W 7TH St
Oxnard, CA 93030-6755

Mailing address

19360 Rinaldi St Ste 363
Porter Ranch, CA 91326-1607
Phone (866) 895-8716

Other practice location 1

2351 E 22nd St
Cleveland, OH 44115-3111
Phone (216) 861-6200

Other practice location 2

4911 Van Nuys Blvd Fl 1
Sherman Oaks, CA 91403-1716
Phone (747) 263-9696

Other practice location 3

15107 Vanowen St Fl 4
Van Nuys, CA 91405-4542
Phone (747) 263-9696

Other practice location 4

5471 La Palma Ave Ste 106
LA Palma, CA 90623-1792
Phone (747) 263-9696

Other identifiers 1

IdentifierTypeStateIssuer
E5428OtherCALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20180912001157 CA Practitioner - Podiatry 9537419569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E5428CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Institute of Foot and Ankle Surgery, Inc. Foot & Ankle Surgery CurrentSince Sep 12, 2022 Accepting new patients

Locations

201 S Buena Vista St
Ste 305
Burbank, CA 91505
Phone (818) 848-5588

18531 Roscoe Blvd
Ste 215
Northridge, CA 91324
Phone (818) 700-0411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1295102887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19360 RINALDI ST STE 363",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261607",
            "telephone_number": "866-895-8716",
            "fax_number": "818-475-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306755",
            "telephone_number": "747-263-9696",
            "fax_number": "818-475-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153111",
            "country_code": "US",
            "telephone_number": "216-861-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4911 Van Nuys Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031716",
            "country_code": "US",
            "telephone_number": "747-263-9696",
            "fax_number": "818-475-1406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15107 Vanowen St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914054542",
            "country_code": "US",
            "telephone_number": "747-263-9696",
            "fax_number": "818-475-1406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5471 La Palma Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906231792",
            "country_code": "US",
            "telephone_number": "747-263-9696",
            "fax_number": "818-475-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWOODIAN",
        "first_name": "ALEX",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-12-30",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E5428",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.