Individual provider Active NPI

Frederick Avakian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newhall, CA
National Provider Identifier
1497940704
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4191 Issued in CA
Practice address
23206 Lyons Ave
Suite 108
Newhall, CA 91321-2667
Phone
(661) 288-2321
Fax
(661) 288-0378
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27875 Smyth Dr
Suite 100
Valencia, CA 91355-6064
Phone (661) 288-2321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue240
Removal or shaving of skin growth169

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
I20101222000158 CA Practitioner - Podiatry 3072536465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4191CAMDFoot & Ankle Surgery Podiatrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Foot & Ankle Clinic Inc Foot & Ankle Surgery CurrentSince Apr 7, 2003 Accepting new patients
Dignity Health Past Accepting new patients

Locations

23206 Lyons Ave
Ste 108
Santa Clarita, CA 91321
Phone (661) 288-2321

27875 Smyth Dr
Ste 100
Valencia, CA 91355
Phone (661) 288-2321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: frederickavakian@vfaa-ca.direct.office.nextgen.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4191 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

23206 Lyons Ave
Suite 108
Newhall, CA 91321-2667

Mailing address

23206 Lyons Ave
Suite 108
Newhall, CA 91321-2667
Phone (661) 288-2321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2013.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1497940704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "SUITE 108",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212667",
            "telephone_number": "661-288-2321",
            "fax_number": "661-288-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "SUITE 108",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212667",
            "telephone_number": "661-288-2321",
            "fax_number": "661-288-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "FREDERICK",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.