Individual provider Active NPI

Albert A Nejat, D.P.M.

  • Podiatrist
  • Culver City, CA
National Provider Identifier
1497770432
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4400 Issued in CA
Practice address
9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807
Phone
(310) 204-2300
Fax
(310) 204-0444
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4400 CA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X E4400 CA
Sports Medicine Podiatrist 213ES0000X E4400 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E4400 CA
Foot Surgery Podiatrist 213ES0131X E4400 CA

Addresses

Primary practice location

9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807

Mailing address

9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807
Phone (310) 204-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000969 CA Practitioner - Podiatry 7911958640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807
Phone (310) 204-2300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue174
Removal of skin lesions1-10
Removal of nail tissue781
Removal or shaving of skin growth332
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4400CAMDSports Medicine Podiatrist
4400CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Institute of Southern California Inc. Foot Surgery CurrentSince Apr 1, 2006 Accepting new patients
Rory Cohen DPM PC Podiatrist Past Accepting new patients
Neil Zwiebel DPM PLLC Podiatrist Past Accepting new patients
Healthcare Providers of California Medical Group, Inc Past Accepting new patients
Ilya M Rachman MD Inc Past Accepting new patients

Locations

3831 Hughes Ave
Ste 706
Culver City, CA 90232
Phone (310) 204-2300

9808 Venice Blvd
Ste 600
Culver City, CA 90232
Phone (310) 204-2300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1497770432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 600",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326807",
            "telephone_number": "310-204-2300",
            "fax_number": "310-204-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 600",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326807",
            "telephone_number": "310-204-2300",
            "fax_number": "310-204-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAT",
        "first_name": "ALBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4400",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4400",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E4400",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4400",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.