Individual provider Active NPI

Cheryl Donath, DPM

  • Primary Podiatric Medicine Podiatrist
  • Los Angeles, CA
National Provider Identifier
1699936997
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
4966 Issued in CA
Practice address
1990 Westwood Blvd Ste 220
Los Angeles, CA 90025-4674
Phone
(310) 475-5377
Fax
(310) 446-1825
NPI assigned
Jun 19, 2008
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Primary Podiatric Medicine Podiatrist 213EP1101X 4966 CA Primary

Addresses

Primary practice location

1990 Westwood Blvd Ste 220
Los Angeles, CA 90025-4674

Mailing address

PO Box 2408
Lancaster, CA 93539-2408
Phone (661) 471-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000502 CA Practitioner - Podiatry 5395902712 Practice locations: Los Angeles, CA; Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1990 Westwood Blvd
Suite 220
Los Angeles, CA 90025-4674
Phone (310) 475-5377

724 Santa Monica Blvd
Santa Monica, CA 90401-2602
Phone (310) 475-5377

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1099
Removal or shaving of skin growth181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. PastSince Sep 13, 2020 Accepting new patients
Samuel Ross MD Inc PastSince Jun 1, 2019 Accepting new patients
Footfix Apc PastSince Jun 9, 2018 Accepting new patients
Home Foot Care, Inc. PastSince Jul 1, 2018 Accepting new patients
Roohbakhsh Maher DPM. Inc PastSince Feb 1, 2004 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1699936997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2408",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392408",
            "telephone_number": "661-471-2235",
            "fax_number": "661-750-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254674",
            "telephone_number": "310-475-5377",
            "fax_number": "310-446-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATH",
        "first_name": "CHERYL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.