Organization Active NPI

Foot & Ankle Doctors Inc a Professional Corporation

  • Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1578637237
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT & ANKLE DOCTORS INC A PROFESSIONAL CORPORATION
Practice address
9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone
(310) 652-3668
Fax
(310) 652-3669
NPI assigned
Nov 17, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. David Dardashti, DPMNPI 1457395923
Title
President
Phone
(310) 652-3668

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562

Mailing address

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone (310) 652-3668

Other practice location 1

16311 Ventura Blvd Ste 650
Encino, CA 91436-4320
Phone (818) 981-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060306000809 CA Part B Supplier - Clinic/Group Practice 1052327624 Receives reassigned benefits from 10 practitioners
Practice locations: Beverly Hills, CA; Encino, CA; Los Alamitos, CA; Los Angeles, CA; Pasadena, CA; Rolling Hills Estates, CA
O20151116001324 CA DME Supplier - Physician - Podiatry 1052327624 Practice locations: Beverly Hills, CA
O20241015000031 TX Part B Supplier - Independent Clinical Laboratory 1052327624 Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Locations

240 S La Cienega Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 652-3668

9100 Wilshire Blvd
#2801
Beverly Hills, CA 90212

7901 Santa Monica Blvd
Ste 207
West Hollywood, CA 90046
Phone (323) 639-3898

Practitioners & affiliated clinicians

Practitioners 11

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1578637237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668",
            "fax_number": "310-652-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668",
            "fax_number": "310-652-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16311 Ventura Blvd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364320",
            "country_code": "US",
            "telephone_number": "818-981-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT & ANKLE DOCTORS INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "DARDASHTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-652-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.