Organization Active NPI

Coast to Coast Podiatry

  • Podiatrist
  • Tarzana, CA
National Provider Identifier
1710258017
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COAST TO COAST PODIATRY
Practice address
18740 Ventura Blvd Ste 102
Tarzana, CA 91356-6353
Phone
(818) 708-7668
Fax
(818) 708-9668
NPI assigned
Jan 18, 2012
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Dr. Christopher Ayodele Otiko, DPMNPI 1346223997
Title
Ceo
Phone
(818) 708-7668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

18740 Ventura Blvd Ste 102
Tarzana, CA 91356-6353

Mailing address

18740 Ventura Blvd Ste 102
Tarzana, CA 91356-6353
Phone (818) 836-2475

National Provider Directory

National Provider Directory

Locations

7320 Reseda Blvd
Unit 371972
Reseda, CA 91337

Practitioners & affiliated clinicians

Practitioners 4

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1710258017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566353",
            "telephone_number": "818-836-2475",
            "fax_number": "818-708-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566353",
            "telephone_number": "818-708-7668",
            "fax_number": "818-708-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "OTIKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-708-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.