Organization Active NPI

Optimum Podiatry Services

  • Foot & Ankle Surgery Podiatrist
  • Irvine, CA
National Provider Identifier
1467201756
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OPTIMUM PODIATRY SERVICES
Practice address
2445 McCabe Way Ste 130
Irvine, CA 92614-4299
Phone
(714) 404-5641
Fax
(714) 988-2066
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Jonathan Matthew Moss, DPMNPI 1295394294
Title
Owner
Phone
(714) 404-5641

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

2445 McCabe Way Ste 130
Irvine, CA 92614-4299

Mailing address

909 Tollis Pkwy
Broadview Heights, OH 44147-1818
Phone (714) 798-9335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624003352 CA Part B Supplier - Clinic/Group Practice 9133662786 Receives reassigned benefits from 3 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

2445 McCabe Way
Ste 130
Irvine, CA 92614
Phone (714) 404-5641

16815 Von Karman Ave
Ste 160
Irvine, CA 92606
Phone (714) 404-5641

Practitioners & affiliated clinicians

Practitioners 3

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": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1467201756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 TOLLIS PKWY",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471818",
            "telephone_number": "714-798-9335",
            "fax_number": "714-988-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MCCABE WAY STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144299",
            "telephone_number": "714-404-5641",
            "fax_number": "714-988-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PODIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-404-5641",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.