Individual provider Active NPI

Danielle Mahller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Northridge, CA
National Provider Identifier
1346697802
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5556 Issued in CA
Practice address
9017 Reseda Blvd Ste 100
Northridge, CA 91324-3969
Phone
(818) 885-8400
NPI assigned
May 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 E5556 CA Primary

Addresses

Primary practice location

9017 Reseda Blvd Ste 100
Northridge, CA 91324-3969

Mailing address

22606 Valerio St
West Hills, CA 91307-1645

Other names 1

  • Danielle Kochavi 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
I20200916001010 CA Practitioner - Podiatry 7719305143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald J Belczyk, DPM Inc.Group PAC ID 3274729306, 3 clinicians

Practice addresses (Care Compare)

903 W 7TH St
Oxnard, CA 93030-6755
Phone (747) 263-9696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue15
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5556CAMDFoot & Ankle Surgery Podiatrist
5556CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Foot Care, Inc. CurrentSince Nov 8, 2021 Accepting new patients
Ronald J Belczyk, DPM Inc. Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Ronald J Belczyk, DPM Inc. Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery CurrentSince Nov 8, 2021 Accepting new patients

Locations

5471 La Palma Ave
Ste 106
La Palma, CA 90623
Phone (714) 670-6195

18433 Roscoe Blvd
Ste 105
Northridge, CA 91325
Phone (747) 263-9696

903 W 7th St
Oxnard, CA 93030
Phone (747) 263-9696

14860 Roscoe Blvd
Ste 305
Panorama City, CA 91402
Phone (818) 617-9928

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

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

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

4911 Van Nuys Blvd
Ste 100
Van Nuys, CA 91403
Phone (818) 341-7243

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

15107 Vanowen St
Ste 4
Van Nuys, CA 91405

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1346697802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22606 VALERIO ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 RESEDA BLVD STE 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243969",
            "telephone_number": "818-885-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLLER",
        "first_name": "DANIELLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KOCHAVI",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.