Active NPI
Foot & Ankle Physicians & Surgeons, PC
Doing business as Hollywood Foot & Ankle Clinic
- Foot & Ankle Surgery Podiatrist
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4877
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Majid Seyedin, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194040071 | Other | CA | INDIVIDUAL NPI NUMBER |
Other names 1
- Hollywood Foot & Ankle Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Encino, CA
- NPI 1194040071
-
- Primary Podiatric Medicine Podiatrist
- Los Angeles, CA
- NPI 1730269655
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.