Organization Active NPI

My Foot Clinic, Inc

  • Foot & Ankle Surgery Podiatrist
  • Reseda, CA
National Provider Identifier
1548560766
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MY FOOT CLINIC, INC
Practice address
18909 Sherman Way
B
Reseda, CA 91335-7700
Phone
(818) 344-6300
Fax
(818) 774-9719
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nicole Pourmoussa
Title
Office Manager
Phone
(818) 344-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X CA Primary

Addresses

Primary practice location

18909 Sherman Way
B
Reseda, CA 91335-7700

Mailing address

18909 Sherman Way
B
Reseda, CA 91335-7700
Phone (818) 344-6300

National Provider Directory

National Provider Directory
Tax ID family
My Foot Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18909 Sherman Way
#B
Reseda, CA 91335
Phone (818) 344-6300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548560766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18909 SHERMAN WAY",
            "address_2": "B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357700",
            "telephone_number": "818-344-6300",
            "fax_number": "818-774-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18909 SHERMAN WAY",
            "address_2": "B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357700",
            "telephone_number": "818-344-6300",
            "fax_number": "818-774-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FOOT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POURMOUSSA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-344-6300"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.