Individual provider Active NPI

Josana Joseph, P.A, D.P.M, P.C.C

  • Podiatrist
  • El Segundo, CA
National Provider Identifier
1679789192
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5885 Issued in CA
Practice address
222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648
Phone
(310) 750-4511
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15478 CA
Podiatrist 213E00000X 1038 CT
Podiatrist 213E00000X 007058 NY
Physician Assistant 363A00000X 4656 CT
Physician Assistant 363A00000X 011385 NY
Podiatrist 213E00000X E5885 CA Primary

Addresses

Primary practice location

222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648

Mailing address

11420 Santa Monica Boulevard
P.O Box #252212
Los Angeles, CA 90025-8978

Other practice location 1

17215 Studebaker Rd Ste 108
Cerritos, CA 90703-2521
Phone (310) 750-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190719000839 CT Practitioner - Podiatry 5395992390
I20200407001955 NY Practitioner - Podiatry 5395992390 Reassigns benefits to 2 organizations
I20221003002893 CA Practitioner - Podiatry 5395992390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Demian IncGroup PAC ID 4880944339, 27 clinicians

Practice addresses (Care Compare)

7612 Adwen St
Downey, CA 90241-4419
Phone (562) 291-1994

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue864
Removal or shaving of skin growth92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1038CTMDAddiction (Substance Use Disorder) Counselor
007058NYMDAcupuncturist
E5885CAMDPodiatrist
4656CTMDPhysician Assistant
011385NYMDPhysician Assistant

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Jeffrey Demian Inc CurrentSince Oct 23, 2024 Accepting new patients
Women'S Head to Foot Care, PC Podiatrist CurrentSince Nov 3, 2024 Accepting new patients
Medical Director Services PC CurrentSince Feb 6, 2020 Accepting new patients
Phase Two Podiatry PC Podiatrist CurrentSince Mar 10, 2020 Accepting new patients
Serene Health Mental Health Past Accepting new patients
James F Eggold Podiatrist Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Convalescent Podiatry Care Podiatrist Past Accepting new patients

Locations

17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

11420 Santa Monica Blvd
Unit 252212
Los Angeles, CA 90025

930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

301 Mill Rd
Ste U7
Hewlett, NY 11557

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1679789192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 SANTA MONICA BOULEVARD",
            "address_2": "P.O BOX #252212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 1420",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455648",
            "telephone_number": "310-750-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17215 Studebaker Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032521",
            "country_code": "US",
            "telephone_number": "310-750-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOSANA",
        "name_prefix": "Ms.",
        "credential": "P.A, D.P.M, P.C.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "15478",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "1038",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007058",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4656",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011385",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.