NPIMap

Organization Active NPI

Oc Foot and Ankle Associates, Inc

  • Foot & Ankle Surgery Podiatrist
  • Tustin, CA
National Provider Identifier
1407413008
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OC FOOT AND ANKLE ASSOCIATES, INC
Practice address
14642 Newport Ave Ste 450
Tustin, CA 92780-6092
Phone
(714) 669-4422
Fax
(714) 669-4444
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Dr. Anjala Kanda, DPMNPI 1174577654
Title
President/Owner
Phone
(714) 669-4422

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 Primary

Addresses

Primary practice location

14642 Newport Ave Ste 450
Tustin, CA 92780-6092

Mailing address

14642 Newport Ave Ste 450
Tustin, CA 92780-6092
Phone (714) 669-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190726002052 CA Part B Supplier - Clinic/Group Practice 6305172487 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Anaheim, CA; Downey, CA; Tustin, CA
O20200824003468 CA DME Supplier - Physician - Podiatry 6305172487 Practice locations: Tustin, CA

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oc Foot and Ankle Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9901 Paramount Blvd
Ste 202
Downey, CA 90240
Phone (562) 923-0371

19066 Magnolia St
#H
Huntington Beach, CA 92646

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1407413008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 450",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806092",
            "telephone_number": "714-669-4422",
            "fax_number": "714-669-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 450",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806092",
            "telephone_number": "714-669-4422",
            "fax_number": "714-669-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC FOOT AND ANKLE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "KANDA",
        "authorized_official_first_name": "ANJALA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-669-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.