Organization Active NPI

Podiatry Institute of Southern California Inc.

Doing business as Podiatry Institute of Southern California

  • Foot Surgery Podiatrist
  • Culver City, CA
National Provider Identifier
1669670279
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4400 Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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.NPI 1497770432
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071227000623 CA Part B Supplier - Clinic/Group Practice 4789764010 Receives reassigned benefits from 1 practitioner
Practice locations: Culver City, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.