Coast to Coast Podiatry

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

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ayodele Otiko, DPM

Title

Ceo

Phone

(818) 708-7668

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abena D Amankwa, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1316291099
  NPD (past)
• Debbie W. Maokhamphiou, NP

  • Family Nurse Practitioner
  • Vista, CA
  • NPI 1275025827
  NPD (past)
• Nosheen Khan, DPM

  • Podiatrist
  • Far Rockaway, NY
  • NPI 1730686692
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "E4159",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Feldman Group Practice
• Clinical Care Pharmacy PC
• Pamela Sirinthon Cloribel, PHARM.D.
• CMJ Recovery Ca LLC
• Coast to Coast Foot Doctors
• Coast to Coast Podiatry
• Myrna Coen
• Elena M Cofer
• Debrin Cohen
• Josh L Cohen, M.S.

• All providers in Tarzana, CA
• Podiatrist in California

• 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.