NPIMap

Organization Active NPI

University Foot & Ankle Institute Podiactric Surgical Center

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
National Provider Identifier
1427557669
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4186 Issued in CA
Legal business name
UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER
Practice address
16311 Ventura Blvd Ste 1080
Encino, CA 91436-4352
Phone
(310) 828-0011
NPI assigned
Feb 2, 2018
Organization subpart
Yes
Parent organization
UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Babak Baravarian, DPM
Title
Ceo
Phone
(310) 828-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X E4186 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd Ste 1080
Encino, CA 91436-4352

Mailing address

2121 Wilshire Blvd Ste 101
Santa Monica, CA 90403-5742
Phone (310) 828-0011

National Provider Directory

National Provider Directory
Tax ID family
University Foot and Ankle Institute12 organizations share this tax ID, including this one
Part of
University Foot and Ankle Institute

Other organizations with this tax ID 11

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

Locations

2121 Wilshire Blvd
Ste 101
Santa Monica, CA 90403
Phone 3108280011216

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1427557669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035742",
            "telephone_number": "310-828-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1080",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364352",
            "telephone_number": "310-828-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "BARAVARIAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-828-0011",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.