Valley Foot Clinic Professional Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4452 Issued in CA

Legal business name

VALLEY FOOT CLINIC PROFESSIONAL CORPORATION

Practice address

14600 Sherman Way Ste 230
Van Nuys, CA 91405-2291

Phone

(818) 784-8420

Fax

(818) 785-0028

NPI assigned

Mar 2, 2015

Last updated

Jun 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cinthia Hernandez, M.A.

Title

Medical Assistant

Phone

(818) 784-8420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Mansour Nejadrasool, DPM

  • Foot Surgery Podiatrist
  • Van Nuys, CA
  • NPI 1477565828
  Medicare reassignment
• Marianna Engibarian, M.S., CCC-A

  • Audiologist
  • Northridge, CA
  • NPI 1285672881
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1689066581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 230",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052291",
            "telephone_number": "818-519-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 230",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052291",
            "telephone_number": "818-784-8420",
            "fax_number": "818-785-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FOOT CLINIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CINTHIA",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "818-784-8420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Care Group, Inc.
• Valley Care Hospice Inc.
• Valley Care Hospice, Inc.
• Valley Detox and Rehabilitation, LLC
• Valley Employment Services
• Valley Glen Medical Clinic
• Valley Health Care Services, Inc.
• Valley Hope Outpatient
• Valley Hospice & Palliative Care, Inc.
• Valley Hospice Care Inc

• Foot & Ankle Surgery Podiatrist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.