Optimal Foot and Ankle Institute

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

OPTIMAL FOOT AND ANKLE INSTITUTE

Practice address

2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015

Phone

(410) 725-3363

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

David Khakshoor, DPMNPI 1811476658

Title

Owner

Phone

(410) 725-3363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 1

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

• David Khakshoor

  • Primary Podiatric Medicine Podiatrist
  • Los Angeles, CA
  • NPI 1811476658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1497417307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MANNING AVE APT 14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245078",
            "telephone_number": "410-725-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "410-725-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL FOOT AND ANKLE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KHAKSHOOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-725-3363",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharonda Afia Oppong-Addae, MSSLP
• Prince O. Oppong
• Opportunity Baptist Church, Inc.
• Opportunity Medical
• Optical Outlook Inc.
• Optimal Health of Ca III,LLC
• Optimal Path Therapy Inc
• Optimal Physical Therapy Inc
• Optimist Boys' Home and Ranch, Inc.
• Optimize Medical Group, Inc

• Podiatric Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.