Organization Active NPI

Omega Podiatry Inc.

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1396057014
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4609 Issued in CA
Legal business name
OMEGA PODIATRY INC.
Practice address
2137 E Cesar E Chavez Ave
Los Angeles, CA 90033-1843
Phone
(323) 262-7450
Fax
(323) 262-2337
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Dr. Makabis Yousefpour, D.P.MNPI 1417983222
Title
Owner/President
Phone
(323) 262-7450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4609 CA Primary

Addresses

Primary practice location

2137 E Cesar E Chavez Ave
Los Angeles, CA 90033-1843

Mailing address

2137 E Cesar E Chavez Ave
Los Angeles, CA 90033-1843
Phone (323) 262-7450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115000893 CA Part B Supplier - Clinic/Group Practice 5193004174 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA; Palmdale, CA; Norwalk, CA; Pasadena, CA; Reseda, CA; Riverside, CA; Santa Monica, CA; Sherman Oaks, CA…

National Provider Directory

National Provider Directory

Locations

2851 Lake Ave
Altadena, CA 91001
Phone (626) 398-8668

44445 15th St W
Lancaster, CA 93534
Phone (661) 948-7501

7900 Pacific Blvd
Ste D
Walnut Park, CA 90255
Phone (323) 585-1056

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1396057014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331843",
            "telephone_number": "323-262-7450",
            "fax_number": "323-262-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331843",
            "telephone_number": "323-262-7450",
            "fax_number": "323-262-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PODIATRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "YOUSEFPOUR",
        "authorized_official_first_name": "MAKABIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-262-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.