Individual provider Active NPI

Vladimir Zeetser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
National Provider Identifier
1366449985
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4504 Issued in CA
Practice address
5400 Balboa Blvd Ste 325
Encino, CA 91316-5226
Phone
(818) 907-6100
Fax
(866) 513-4995
NPI assigned
Jun 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 E4504 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd Ste 325
Encino, CA 91316-5226

Mailing address

5400 Balboa Blvd Ste 325
Encino, CA 91316-5226
Phone (818) 907-6100

Other identifiers 2

IdentifierTypeStateIssuer
000E45041MedicaidCA
5076980001OtherCAMEDICARE DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031106000380 CA Practitioner - Podiatry 8022921014 Reassigns benefits to 7 organizations
I20180424002231 NV Practitioner - Podiatry 8022921014

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Podiatry IncGroup PAC ID 6406912401, 5 clinicians

Practice addresses (Care Compare)

5400 Balboa Blvd
Suite 325
Encino, CA 91316-5226
Phone (818) 907-6100

Hospital & facility affiliations

  • California Healthcare Management Group, Inc Home health agency, Encino, CA, CCN 059739
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue108
Removal of skin lesions13
Removal of nail tissue133
Removal or shaving of skin growth82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4504CAMDClinical Social Worker
E4504CAMDFoot & Ankle Surgery Podiatrist
2003NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vladimir Zeetser, DPM, Inc. Foot & Ankle Surgery CurrentSince Apr 30, 2003 Accepting new patients
Peripheral Vascular Institute, Inc. a Podiatry Corp CurrentSince Jun 25, 2019 Accepting new patients
Vascular Intervention Specialists Inc CurrentSince Jan 26, 2017 Accepting new patients
Vascular Interventional Partners Inc CurrentSince Mar 15, 2016 Accepting new patients
Vascular Interventional Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Valley Vascular Partners Inc CurrentSince Feb 25, 2017 Accepting new patients
Premium Podiatry, Inc. Foot & Ankle Surgery PastSince Jan 1, 2023 Accepting new patients
Valley Foot and Ankle, Inc. PastSince Jan 17, 2013 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Sunil Rangappa, M.D., Inc Past Accepting new patients

Locations

5400 Balboa Blvd
Ste 325
Encino, CA 91316
Phone (818) 782-0559

10515 Balboa Blvd
Ste 375
Granada Hills, CA 91344
Phone (818) 305-5671

6601 Rugby Ave
Ste 100
Huntington Park, CA 90255
Phone (323) 749-9770

3400 E Florence Ave
Ste 2
Huntington Pk, CA 90255

2100 Solar Dr
Ste 103
Oxnard, CA 93036
Phone (805) 293-6436

19231 Victory Blvd
Ste 155
Reseda, CA 91335
Phone (818) 457-4512

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

935 S Sunset Ave
West Covina, CA 91790
Phone (626) 888-7414

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 2

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": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1366449985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 325",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165226",
            "telephone_number": "818-907-6100",
            "fax_number": "866-513-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 325",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165226",
            "telephone_number": "818-907-6100",
            "fax_number": "866-513-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEETSER",
        "first_name": "VLADIMIR",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E45041",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "5076980001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.