Organization Active NPI

Tavakalyan Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
National Provider Identifier
1316725088
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TAVAKALYAN PODIATRY PC
Practice address
501 W Glenoaks Blvd Ste 10
Glendale, CA 91202-4039
Phone
(616) 482-7890
Fax
(855) 203-0413
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. Karina Tavakalyan, DPMNPI 1972091734
Title
Podiatrist
Phone
(616) 482-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

501 W Glenoaks Blvd Ste 10
Glendale, CA 91202-4039

Mailing address

501 West Glenoaks Blvd,
Suite 10, PMB 212
Glendale, CA 91202-2341
Phone (616) 482-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231016000818 CA Part B Supplier - Clinic/Group Practice 1850746579 Receives reassigned benefits from 1 practitioner
Practice locations: Gardena, CA; West Hollywood, CA; Santa Ana, CA; San Marcos, CA; Los Angeles, CA; Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1316725088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WEST GLENOAKS BLVD,",
            "address_2": "SUITE 10, PMB 212",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022341",
            "telephone_number": "616-482-7890",
            "fax_number": "855-203-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD STE 10",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024039",
            "telephone_number": "616-482-7890",
            "fax_number": "855-203-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVAKALYAN PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "TAVAKALYAN",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "616-482-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.