Organization Active NPI

Beverly Hills Aesthetic Foot Surgery

  • Ambulatory Surgical Clinic/Center
  • Studio City, CA
National Provider Identifier
1710294277
Registry record updated Sep 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
E4318 Issued in CA
Legal business name
BEVERLY HILLS AESTHETIC FOOT SURGERY
Practice address
12265 Ventura Blvd
No. 107
Studio City, CA 91604-2528
Phone
(310) 691-5411
Fax
(310) 388-1658
NPI assigned
Sep 4, 2010
Last updated
Sep 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2010

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

Authorized official

Name
Dr. Ali Sadrieh, DPMNPI 1013979822
Title
Owner
Phone
(310) 691-5411

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
Ambulatory Surgical Clinic/Center 261QA1903X E4318 CA Primary

Addresses

Primary practice location

12265 Ventura Blvd
No. 107
Studio City, CA 91604-2528

Mailing address

12265 Ventura Blvd
No. 107
Studio City, CA 91604-2528
Phone (310) 691-5411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283558400000",
    "number": "1710294277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 VENTURA BLVD",
            "address_2": "NO. 107",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042528",
            "telephone_number": "310-691-5411",
            "fax_number": "310-388-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 VENTURA BLVD",
            "address_2": "NO. 107",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042528",
            "telephone_number": "310-691-5411",
            "fax_number": "310-388-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS AESTHETIC FOOT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A",
        "authorized_official_last_name": "SADRIEH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-691-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "E4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; 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.