Individual provider Active NPI

Suzie Martikyan

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
National Provider Identifier
1669001137
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5939 Issued in CA
Practice address
3655 Lomita Blvd Ste 120
Torrance, CA 90505-1907
Phone
(310) 791-1092
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5939 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd Ste 120
Torrance, CA 90505-1907

Mailing address

11948 Burbank Blvd Apt 16
Valley Village, CA 91607-1824
Phone (818) 212-6772

Other practice location 1

1360 W 6th St Ste 240
San Pedro, CA 90732-3589
Phone (310) 548-3311

Other practice location 2

1660 S Columbian Way # 112-Pod
Seattle, WA 98108-1532
Phone (818) 212-6772

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521004101 CA Practitioner - Podiatry 3375985427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rabin Beral DPM a Podiatry CorporationGroup PAC ID 0345216065, 6 clinicians

Practice addresses (Care Compare)

1141 W Redondo Beach Blvd
Suite 206
Gardena, CA 90247-3584
Phone (310) 515-8155

2121 Wilshire Blvd
Suite 101
Santa Monica, CA 90403-5742
Phone (310) 828-0011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue205
Removal or shaving of skin growth74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5939CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Foot and Ankle Center Inc Foot & Ankle Surgery CurrentSince Feb 16, 2026 Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Foot & Ankle Surgery Current Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Foot & Ankle Surgery Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

5230 Pacific Concourse Dr
Ste 100
Los Angeles, CA 90045
Phone (310) 297-9221

3984 S Figueroa St
Los Angeles, CA 90037
Phone (213) 747-7272

11631 Victory Blvd
Ste 104
North Hollywood, CA 91606
Phone (818) 570-0901

1360 W 6th St
Ste 240
San Pedro, CA 90732
Phone (310) 548-3311

14 E Arrellaga St
Santa Barbara, CA 93101
Phone (805) 965-1515

2121 Wilshire Blvd
Ste 101
Santa Monica, CA 90403
Phone 3108280011216

4849 Van Nuys Blvd
Ste 205A
Sherman Oaks, CA 91403

3655 Lomita Blvd
Ste 120
Torrance, CA 90505
Phone (310) 791-1092

27421 Tourney Rd
Ste 200
Valencia, CA 91355

23501 Cinema Dr
Ste 209
Valencia, CA 91355
Phone (661) 254-0795

32144 Agoura Rd
Ste 105
Westlake Vlg, CA 91361
Phone (818) 706-1924

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1669001137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11948 BURBANK BLVD APT 16",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071824",
            "telephone_number": "818-212-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051907",
            "telephone_number": "310-791-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W 6th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323589",
            "country_code": "US",
            "telephone_number": "310-548-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 S Columbian Way # 112-Pod",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981081532",
            "country_code": "US",
            "telephone_number": "818-212-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIKYAN",
        "first_name": "SUZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.