Prime Foot Care

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PRIME FOOT CARE

Practice address

1030 S Glendale Ave Ste 506a
Glendale, CA 91205-2820

Phone

(310) 877-9114

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Samira Mehrizi, DPMNPI 1386084457

Title

Medical Director

Phone

(310) 877-9114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Samira Mehrizi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Simi Valley, CA
  • NPI 1386084457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1346922804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 506A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052820",
            "telephone_number": "310-877-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 506A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052820",
            "telephone_number": "310-877-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MEHRIZI",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-877-9114",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primavera Home Health, Inc.
• Prime Behavioral Solutions Inc
• Prime Care Home Health Agency, Inc.
• Prime Care Hospice Inc
• Prime Family Clinic Inc
• Prime Home Health Inc
• Prime Imaging Inc
• Prime Medical Management
• Prime Medical Supplies Inc.
• Prime Nest Home Health Care

• Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.