Individual provider Active NPI

Arman A Kirakosian, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Bruno, CA
National Provider Identifier
1437394160
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4853 Issued in CA
Practice address
560 Jenevein Ave
San Bruno, CA 94066-4408
Phone
(650) 588-9189
Fax
(650) 588-2814
NPI assigned
Dec 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4853 CA Primary

Addresses

Primary practice location

560 Jenevein Ave
San Bruno, CA 94066-4408

Mailing address

883 Sneath LN
Ste 160
San Bruno, CA 94066-2409
Phone (650) 588-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000482 CA Practitioner - Podiatry 4183819121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

883 Sneath LN
Suite 160
San Bruno, CA 94066-2409
Phone (650) 588-9189

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue248
Removal or shaving of skin growth210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4853CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arman Kirakosian DPM Inc Foot & Ankle Surgery CurrentSince Nov 1, 2014 Accepting new patients
Associated Podiatry Group of San Carlos CurrentSince Jul 19, 2010 Accepting new patients
Sequoia Health Services Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter East Bay Medical Foundation Foot & Ankle Surgery Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Locations

883 Sneath Ln
Ste 160
San Bruno, CA 94066
Phone (650) 588-9189

560 Jenevein Ave
San Bruno, CA 94066
Phone (650) 588-9189

961 Laurel St
Ste 100
San Carlos, CA 94070
Phone (650) 593-8083

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1437394160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 SNEATH LN",
            "address_2": "STE 160",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662409",
            "telephone_number": "650-588-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664408",
            "telephone_number": "650-588-9189",
            "fax_number": "650-588-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAKOSIAN",
        "first_name": "ARMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.