PNC Podiatry of Southern California PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PNC PODIATRY OF SOUTHERN CALIFORNIA PC

Doing business as

University Foot & Ankle Institute

Practice address

2121 Wilshire Blvd Ste 101
Santa Monica, CA 90403-5742

Phone

(310) 828-0011

Fax

(310) 828-2001

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Alexander M Reyzelman, DPM

Title

Cmo

Phone

(415) 292-0638

Specialties & licenses 3

Addresses

Other names 1

• University Foot & Ankle Institute Doing business as

Locations

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1477317667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31502",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150168",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035742",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3984 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900371222",
            "country_code": "US",
            "telephone_number": "213-747-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23501 Cinema Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555430",
            "country_code": "US",
            "telephone_number": "661-254-0795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 E Arrellaga St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012502",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 W 6th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323589",
            "country_code": "US",
            "telephone_number": "310-548-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Lomita Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905051907",
            "country_code": "US",
            "telephone_number": "310-791-1092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5230 Pacific Concourse Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900456200",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32144 Agoura Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913614039",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5170 Sepulveda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914036501",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27421 Tourney Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555646",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PNC PODIATRY OF SOUTHERN CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Foot & Ankle Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Louise Plesa, M.D.
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• Hannah Lynn Plotke
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• Lisa Plume, P.T.
• Lilliana PO-Garcia, NP
• Pogson Physical Therapy, Inc.
• Christopher V Pogson, MPT, OCS, FAAOMPT
• Katja D Pohl, PSY.D.
• Angelique Poisson, LMFT

• Podiatrist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.