Individual provider Active NPI

Dennis Yenn, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Toluca Lake, CA
National Provider Identifier
1326068578
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4165 Issued in CA
Practice address
4400 Cartwright Ave Unit 304
Toluca Lake, CA 91602-2359
Phone
(818) 653-9366
Fax
(775) 890-4170
NPI assigned
Jul 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 E4165 CA Primary

Addresses

Primary practice location

4400 Cartwright Ave Unit 304
Toluca Lake, CA 91602-2359

Mailing address

4400 Cartwright Ave Unit 304
Toluca Lake, CA 91602-2359
Phone (818) 653-9366

Other practice location 1

4400 Cartwright Ave Unit 304
Toluca Lake, CA 91602-2359
Phone (818) 653-9366

Other practice location 2

10878 Bloomfield St
#401
Toluca Lake, CA 91602-2213
Phone (818) 508-5211

Other identifiers 3

IdentifierTypeStateIssuer
000E41652MedicaidCA
000E41651MedicaidCA
000E41650MedicaidCA

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
I20041129000338 CA Practitioner - Podiatry 8022073394 Practice locations: Ventura, CA; Toluca Lake, CA; Los Angeles, CA; Camarillo, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement33
Spinal fusion13
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue74
Removal of skin lesions1-10
Removal of nail tissue155
Removal or shaving of skin growth50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4165CAMDPsychologist
E4165CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Pine Associates Past Accepting new patients
Balboa Medical & Wellness Center,Inc. Past Accepting new patients
Raeesy MD Inc Past Accepting new patients
Nuestra Angel Medical Center Inc Past Accepting new patients
Rolandheights Care Medical Center Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326068578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CARTWRIGHT AVE UNIT 304",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022359",
            "telephone_number": "818-653-9366",
            "fax_number": "775-890-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CARTWRIGHT AVE UNIT 304",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022359",
            "telephone_number": "818-653-9366",
            "fax_number": "775-890-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Cartwright Ave Unit 304",
            "address_purpose": "LOCATION",
            "city": "Toluca Lake",
            "state": "CA",
            "postal_code": "916022359",
            "country_code": "US",
            "telephone_number": "818-653-9366",
            "fax_number": "818-653-9366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10878 Bloomfield St",
            "address_2": "#401",
            "address_purpose": "LOCATION",
            "city": "Toluca Lake",
            "state": "CA",
            "postal_code": "916022213",
            "country_code": "US",
            "telephone_number": "818-508-5211",
            "fax_number": "775-890-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENN",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41652",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41651",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

Verify at the official NPI Registry.