Individual provider Active NPI

Joshua Youssefzadeh

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, CA
National Provider Identifier
1710509666
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5919 Issued in CA
Practice address
3700 South St
Lakewood, CA 90712-1419
Phone
(310) 402-1940
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5919 CA Primary

Addresses

Primary practice location

3700 South St
Lakewood, CA 90712-1419

Mailing address

2225 Duxbury Cir
Los Angeles, CA 90034-1015
Phone (310) 402-1940

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
I20230922002525 CA Practitioner - Podiatry 4981058088 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rabin Beral DPM a Podiatry CorporationGroup PAC ID 0345216065, 6 clinicians
Tarzana Foot and Ankle Center IncGroup PAC ID 4688088586, 7 clinicians

Practice addresses (Care Compare)

1141 W Redondo Beach Blvd
Suite 206
Gardena, CA 90247-3584
Phone (310) 515-8155

1141 W Redondo Beach Blvd
Suite 302
Gardena, CA 90247-3583

18607 Ventura Blvd
Suite 202
Tarzana, CA 91356-4174
Phone (818) 650-0004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of nail tissue1207
Removal or shaving of skin growth471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5919CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Jul 4, 2025 Accepting new patients
Tarzana Foot and Ankle Center Inc Foot & Ankle Surgery CurrentSince Sep 16, 2023 Accepting new patients
Rabin Beral DPM a Podiatry Corporation Foot & Ankle Surgery CurrentSince Sep 16, 2023 Accepting new patients
Empire Foot and Ankle Center Inc. Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

1141 W Redondo Beach Blvd
Ste 206
Gardena, CA 90247
Phone (310) 329-4183

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247
Phone (310) 532-8124

2080 Century Park E
Ste 1407
Los Angeles, CA 90067
Phone (310) 277-2929

2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 203-9818

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

18607 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 650-0004

3521 Lomita Blvd
Ste 103
Torrance, CA 90505

299 W Foothill Blvd
Ste 124
Upland, CA 91786
Phone (909) 946-6643

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1710509666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 DUXBURY CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341015",
            "telephone_number": "310-402-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "310-402-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEFZADEH",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.