Organization Active NPI

Milad Sean Hedayat, D.P.M., PC

Doing business as Sherman Oaks Podiatrist Group

  • Podiatrist
  • Sherman Oaks, CA
National Provider Identifier
1457002958
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MILAD SEAN HEDAYAT, D.P.M., PC
Doing business as
Sherman Oaks Podiatrist Group
Practice address
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
Phone
(949) 292-5804
NPI assigned
Jan 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Milad Sean HedayatNPI 1801377890
Title
Ceo
Phone
(818) 995-8228

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806

Mailing address

4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
Phone (949) 292-5804

Other names 1

  • Sherman Oaks Podiatrist Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310000820 CA Part B Supplier - Clinic/Group Practice 7416342480 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1642291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1457002958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031806",
            "telephone_number": "949-292-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031806",
            "telephone_number": "949-292-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAD SEAN HEDAYAT, D.P.M., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "HEDAYAT",
        "authorized_official_first_name": "MILAD",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-995-8228"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Oaks Podiatrist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.