Beach Foot and Ankle Center Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BEACH FOOT AND ANKLE CENTER INC

Practice address

5832 Beach Blvd Unit 211
Buena Park, CA 90621-5501

Phone

(714) 522-8000

Fax

(714) 522-8008

NPI assigned

Feb 21, 2019

Last updated

Jan 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Song Woo Rhee, DPMNPI 1164434676

Title

President

Phone

(714) 522-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward S Rhee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1164434676
  Medicare reassignment NPD Authorized official
• Ramin Ebrahimi, MD

  • Nuclear Cardiology Physician
  • Los Angeles, CA
  • NPI 1992816631
  NPD (past)
• Prabhjot Kaur Grewal, MD

  • Vascular Surgery Physician
  • Riverside, CA
  • NPI 1770748030
  NPD (past)
• Bobby Pourziaee, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1922057173
  NPD (past)
• Bridget Susan Tester, D.P.M.

  • Podiatrist
  • Thousand Oaks, CA
  • NPI 1558584722
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1477010858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 211",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-522-8000",
            "fax_number": "714-522-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 211",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-522-8000",
            "fax_number": "714-522-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH FOOT AND ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SONG WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-522-8000",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "BL-030293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Ballon, RPT
• Erica Danielle Baranwal, O.D.
• Perfecto G Batalla Jr., PT
• Allan Bautista, RPT
• Beach Adhc, Inc.
• Beach Medical RX Inc (Beach Medical Pharmacy)
• Aram Bebekyan
• Nicole Beeks
• Begin Again Behavioral Health Services
• Bellevia LLC

• Foot & Ankle Surgery Podiatrist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.