Organization Active NPI

Assurant Foot and Ankle Care, Surgery & Aesthetics

  • Podiatric Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1699185850
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E4965 Issued in CA
Legal business name
ASSURANT FOOT AND ANKLE CARE, SURGERY & AESTHETICS
Practice address
160 S Lasky Dr
Beverly Hills, CA 90212-1704
Phone
(310) 412-0183
NPI assigned
Apr 28, 2014
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Nathan Lucas Jr., DPM
Title
President, Ceo
Phone
(310) 412-0183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E4965 CA Primary

Addresses

Primary practice location

160 S Lasky Dr
Beverly Hills, CA 90212-1704

Mailing address

455 N Prairie Ave
Inglewood, CA 90301-1413
Phone (310) 412-0183

Other identifiers 1

IdentifierTypeStateIssuer
1740247766OtherCANPI

National Provider Directory

National Provider Directory
Tax ID family
Assurant Foot and Ankle Care Surgery Aesthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 S Lasky Dr
Beverly Hills, CA 90212
Phone (310) 247-0003

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1699185850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011413",
            "telephone_number": "310-412-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S LASKY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121704",
            "telephone_number": "310-412-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANT FOOT AND ANKLE CARE, SURGERY & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "310-412-0183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740247766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.