NPIMap

Organization Active NPI

Artisan Foot and Ankle Podiatric Specialists Inc

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
National Provider Identifier
1386185650
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC
Doing business as
Artisan Foot And Ankle Podiatric Specialists, Inc
Practice address
23141 Moulton Pkwy Ste 109
Laguna Hills, CA 92653-1241
Phone
(949) 272-0007
Fax
(949) 272-0006
NPI assigned
Mar 20, 2017
Reactivated
May 22, 2019
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Alexander Reyzelman, DPMNPI 1023192721
Title
Cmo
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

23141 Moulton Pkwy Ste 109
Laguna Hills, CA 92653-1241

Mailing address

PO Box 843263
Los Angeles, CA 90084-3263
Phone (847) 627-4920

Other names 1

  • Artisan Foot And Ankle Podiatric Specialists, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170815004221 CA DME Supplier - Physician - Podiatry 9234254061 Practice locations: Laguna Hills, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Artisan Foot and Ankle Specialist8 organizations share this tax ID, including this one
Part of
Artisan Foot and Ankle Specialist

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1386185650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843263",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900843263",
            "telephone_number": "847-627-4920",
            "fax_number": "224-220-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531241",
            "telephone_number": "949-272-0007",
            "fax_number": "949-272-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC",
        "enumeration_date": "2017-03-20",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "deactivation_date": "2019-05-16",
        "reactivation_date": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artisan Foot And Ankle Podiatric Specialists, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.