NPIMap

Organization Active NPI

Suchir Sheth Podiatry Corporation

Doing business as SoCal Sports Podiatry

  • Podiatrist
  • Manhattan Beach, CA
National Provider Identifier
1407748171
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SUCHIR SHETH PODIATRY CORPORATION
Doing business as
SoCal Sports Podiatry
Practice address
1000 N Sepulveda Blvd Ste 100
Manhattan Beach, CA 90266-5973
Phone
(310) 395-5025
Fax
(888) 798-0180
NPI assigned
Jul 17, 2025
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Suchir Ketan Sheth, DPMNPI 1982050209
Title
President
Phone
(717) 250-9383

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

1000 N Sepulveda Blvd Ste 100
Manhattan Beach, CA 90266-5973

Mailing address

2001 Santa Monica Blvd Ste 465W
Santa Monica, CA 90404-2178
Phone (310) 395-5025

Other names 1

  • SoCal Sports Podiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251222002724 CA DME Supplier - Physician - Podiatry 4082077136 Practice locations: Manhattan Beach, CA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Suchir Sheth Podiatry Corporation3 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

1000 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 395-5025

2001 Santa Monica Blvd
Ste 465W
Santa Monica, CA 90404
Phone (310) 395-5025

Practitioners & affiliated clinicians

Practitioners 4

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": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1407748171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 465W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042178",
            "telephone_number": "310-395-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 100",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665973",
            "telephone_number": "310-395-5025",
            "fax_number": "888-798-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCHIR SHETH PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SUCHIR",
        "authorized_official_middle_name": "KETAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-250-9383",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCal Sports Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.