Organization Active NPI

Foot & Ankle Physicians & Surgeons, PC

Doing business as Hollywood Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
National Provider Identifier
1568765915
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4877 Issued in CA
Legal business name
FOOT & ANKLE PHYSICIANS & SURGEONS, PC
Doing business as
Hollywood Foot & Ankle Clinic
Practice address
17777 Ventura Blvd
252
Encino, CA 91316-3736
Phone
(323) 912-9220
Fax
(323) 206-5251
NPI assigned
Dec 7, 2010
Last updated
Jul 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Majid Seyedin, DPMNPI 1194040071
Title
Owner
Phone
(323) 912-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4877 CA Primary

Addresses

Primary practice location

17777 Ventura Blvd
252
Encino, CA 91316-3736

Mailing address

710 S Myrtle Ave
105
Monrovia, CA 91016-3423
Phone (248) 835-0121

Other identifiers 1

IdentifierTypeStateIssuer
1194040071OtherCAINDIVIDUAL NPI NUMBER

Other names 1

  • Hollywood Foot & Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110526000396 CA Part B Supplier - Clinic/Group Practice 4082891189 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA; Encino, CA; Inglewood, CA; Los Angeles, CA
O20130122000174 CA DME Supplier - Physician - Podiatry 4082891189 Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

17777 Ventura Blvd
Ste 252
Encino, CA 91316
Phone (323) 912-9220

1832 W 7th St
Los Angeles, CA 90057
Phone (213) 484-0040

4075 Whittier Blvd
Ste 5
Los Angeles, CA 90023
Phone (818) 654-8360

5250 Santa Monica Blvd
Los Angeles, CA 90029
Phone (323) 663-9831

8610 S Sepulveda Blvd
Ste 202
Los Angeles, CA 90045
Phone (818) 290-3680

710 S Myrtle Ave
Monrovia, CA 91016
Phone (323) 207-5454

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJBBA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1568765915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S MYRTLE AVE",
            "address_2": "105",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163423",
            "telephone_number": "248-835-0121",
            "fax_number": "323-206-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD",
            "address_2": "252",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163736",
            "telephone_number": "323-912-9220",
            "fax_number": "323-206-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE PHYSICIANS & SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "SEYEDIN",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-912-9220",
        "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": "E4877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1194040071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.