Foot and Ankle Institute of the West

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2173 Issued in CA

Legal business name

FOOT AND ANKLE INSTITUTE OF THE WEST

Practice address

29525 Canwood St Ste 309
Agoura Hills, CA 91301-4232

Phone

(818) 623-5333

Fax

(818) 735-0110

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Quinn Martin Fauria, DPMNPI 1477631661

Title

Owner

Phone

(818) 623-4455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Foot & Ankle Institute of the West a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Northridge, CA
  • NPI 1295813491

  O20050628000559

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quinn Martin Fauria, DPM

  • Foot & Ankle Surgery Podiatrist
  • Northridge, CA
  • NPI 1477631661

  Foot & Ankle Surgery

  NPD Authorized official
• Romeo Joseph Pettinelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Studio City, CA
  • NPI 1740369792

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1487723219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR STE 305",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073431",
            "telephone_number": "818-623-4455",
            "fax_number": "818-985-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST STE 309",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014232",
            "telephone_number": "818-623-5333",
            "fax_number": "818-735-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF THE WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "FAURIA",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-623-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Firestone, M.A.
• Marla Louise Fisher, DOULA
• Thomas Fitzgerald, PT
• Jo Ellen S. Fletcher, LMFT
• Focus Center for Sleep Apnea and Snoring, LLC
• Justin Formanek, CMT
• Fortis Hospice & Palliative Care, Inc
• Michelle Rebecca Fouladian, PA-C
• Found Recovery Inc
• Foy Wellness and Recovery, LLC

• All providers in Agoura Hills, CA
• Foot & Ankle Surgery Podiatrist in California

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