Individual provider Active NPI

Arash Jalil, DPM

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
National Provider Identifier
1326686015
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006992 Issued in PA
Practice address
18055 Ventura Blvd
Encino, CA 91316-3517
Phone
(818) 261-2900
NPI assigned
Dec 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 SC006992 PA Primary

Addresses

Primary practice location

18055 Ventura Blvd
Encino, CA 91316-3517

Mailing address

4942 Newcastle Ave
Encino, CA 91316-4209
Phone (818) 261-2900

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
I20210510001370 CA Practitioner - Podiatry 4789093451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashkan Soleymani DPM IncGroup PAC ID 2668484981, 4 clinicians

Practice addresses (Care Compare)

12840 Riverside Dr
Suite 204
North Hollywood, CA 91607-3341
Phone (818) 850-3612

575 E Hardy St
Suite 312
Inglewood, CA 90301-4050
Phone (310) 590-2333

Hospital & facility affiliations

  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions1-10
Removal of nail tissue564
Removal or shaving of skin growth365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006992PAMDFoot & Ankle Surgery Podiatrist
5733CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Medical Urgent Care - a Professional Medical Corporation CurrentSince Jan 21, 2022 Accepting new patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery CurrentSince Apr 12, 2021 Accepting new patients
La Podiatry Center Inc Foot & Ankle Surgery CurrentSince Dec 10, 2024 Accepting new patients
Encino Medical Urgent Care Inc. PastSince Jan 21, 2022 Accepting new patients

Locations

18055 Ventura Blvd
Encino, CA 91316
Phone (818) 261-2900

12840 Riverside Dr
Ste 204
Valley Vlg, CA 91607
Phone (818) 508-7922

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17359/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1326686015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 NEWCASTLE AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164209",
            "telephone_number": "818-261-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18055 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163517",
            "telephone_number": "818-261-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALIL",
        "first_name": "ARASH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.