Active NPI
Mina Sarbaz
- Podiatrist
- Valley Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5935
- Practice address
- 12520 Magnolia Blvd Ste 304
Valley Village, CA 91607-2355 - Phone
- (818) 452-9902
- NPI assigned
- Jun 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E5935 | CA | Primary |
Addresses
Primary practice location
12520 Magnolia Blvd Ste 304
Valley Village, CA 91607-2355
Mailing address
1310 Barry Ave Apt 106
Los Angeles, CA 90025-3955
Phone (703) 819-2896
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5935 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Demian Inc | Current | Accepting new patients | |
| Michael D. Kotzen, Inc. | Current | Accepting new patients | |
| Home Foot Care, Inc. | Podiatrist | Current | Accepting new patients |
| Robert a Breiner PC | Podiatrist | Past | Accepting new patients |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Locations
17215 Studebaker Rd
Cerritos, CA 90703
Phone (562) 756-7367
17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902
Interoperability endpoints
- mina.sarbaz.1@21432.direct.athenahealth.com
- https://api.platform.athenahealth.com/21432/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Podiatrist
- Van Nuys, CA
- NPI 1447480785
-
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1306339759
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Podiatrist
- Annandale, VA
- NPI 1245259530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1609438647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 BARRY AVE APT 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253955",
"telephone_number": "703-819-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12520 MAGNOLIA BLVD STE 304",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916072355",
"telephone_number": "818-452-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARBAZ",
"first_name": "MINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-30",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.