NPIMap

Organization Active NPI

Foot & Ankle Doctors of Beverly Hills, a Professional Corp

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1457789190
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4525 Issued in CA
Legal business name
FOOT & ANKLE DOCTORS OF BEVERLY HILLS, A PROFESSIONAL CORP
Practice address
9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone
(310) 652-3668
Fax
(310) 652-3669
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Farshid Nejad, DPMNPI 1215936059
Title
President
Phone
(310) 652-3668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X E4525 CA Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X E4490 CA

Addresses

Primary practice location

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562

Mailing address

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone (310) 652-3668

Other names 1

  • Beverly Hills Wound Care Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141003000037 CA Part B Supplier - Clinic/Group Practice 5991924714 Receives reassigned benefits from 9 practitioners
Practice locations: Beverly Hills, CA; Encino, CA; Los Alamitos, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1457789190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668",
            "fax_number": "310-652-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668",
            "fax_number": "310-652-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE DOCTORS OF BEVERLY HILLS, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "NEJAD",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-652-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4525",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Wound Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beverly Hills Wound Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.