Individual provider Active NPI

Atefeh Izadi, D.P.M.

  • Podiatrist
  • Seal Beach, CA
National Provider Identifier
1447546106
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
EL1879 Issued in CA
Practice address
550 Pacific Coast Hwy
Suite 209
Seal Beach, CA 90740-5999
Phone
(562) 493-2451
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X EL1879 CA Primary

Addresses

Primary practice location

550 Pacific Coast Hwy
Suite 209
Seal Beach, CA 90740-5999

Mailing address

13556 Rancho del Azaleas Way
San Diego, CA 92130-5659
Phone (619) 948-5997

Other names 1

  • Faye Izadi Other name

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
I20140709002077 CA Practitioner - Podiatry 6800011701 Reassigns benefits to 2 organizations
Practice locations: Los Alamitos, CA; Seal Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamitos Podiatry GroupGroup PAC ID 2769643394, 2 clinicians
Seal Beach Podiatry Group IncGroup PAC ID 9335352657, 2 clinicians

Practice addresses (Care Compare)

3771 Katella Ave
Suite 200
Los Alamitos, CA 90720-3118
Phone (562) 430-1084

550 Pacific Coast Hwy
Suite 209
Seal Beach, CA 90740-6654
Phone (562) 493-2451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue211
Removal of skin lesions72
Removal of nail tissue958
Removal or shaving of skin growth770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL1879CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seal Beach Podiatry Group, Inc. Podiatrist CurrentSince Jul 31, 2016 Accepting new patients
Alamitos Podiatry Group CurrentSince Jun 13, 2016 Accepting new patients

Locations

3771 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 430-1084

550 Pacific Coast Hwy
Ste 209
Seal Beach, CA 90740
Phone (562) 493-2451

Interoperability endpoints

  • Direct secure messaging: fayeizadi@apg-ca.direct.office.nextgen.com

Organizations & group practices 2

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402099200000",
    "number": "1447546106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13556 RANCHO DEL AZALEAS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305659",
            "telephone_number": "619-948-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PACIFIC COAST HWY",
            "address_2": "SUITE 209",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405999",
            "telephone_number": "562-493-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZADI",
        "first_name": "ATEFEH",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2014-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "EL1879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAYE",
            "last_name": "IZADI",
            "credential": "D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.