Active NPI
Podiatry Institute of Southern California Inc.
Doing business as Podiatry Institute of Southern California
- Foot Surgery Podiatrist
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E4400
- Legal business name
- PODIATRY INSTITUTE OF SOUTHERN CALIFORNIA INC.
- Doing business as
- Podiatry Institute of Southern California
- Practice address
- 9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807 - Phone
- (310) 204-2300
- Fax
- (310) 204-0444
- NPI assigned
- Jul 5, 2007
- Last updated
- Dec 9, 2011
- 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. Albert A Nejat, D.P.M.
- Title
- President
- Phone
- (310) 204-2300
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 Surgery Podiatrist | 213ES0131X | E4400 | CA | Primary |
Addresses
Primary practice location
9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807
Mailing address
9808 Venice Blvd
Suite 600
Culver City, CA 90232-6807
Phone (310) 204-2300
Other names 1
- Podiatry Institute of Southern California
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3831 Hughes Ave
Ste 706
Culver City, CA 90232
Phone (310) 204-2300
Practitioners & affiliated clinicians
Practitioners 1
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": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323388800000",
"number": "1669670279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD",
"address_2": "SUITE 600",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326807",
"telephone_number": "310-204-2300",
"fax_number": "310-204-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD",
"address_2": "SUITE 600",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326807",
"telephone_number": "310-204-2300",
"fax_number": "310-204-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY INSTITUTE OF SOUTHERN CALIFORNIA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2011-12-09",
"status": "A",
"authorized_official_last_name": "NEJAT",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-204-2300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E4400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Podiatry Institute of Southern California",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.