Active NPI
Joshua Youssefzadeh
- Foot & Ankle Surgery Podiatrist
- Lakewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 93 |
| Removal of nail tissue | 1207 |
| Removal or shaving of skin growth | 471 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5919 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Medical Solutions Inc a Medical Group | Current | Accepting new patients | |
| Tarzana Foot and Ankle Center Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Rabin Beral DPM a Podiatry Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Empire Foot and Ankle Center Inc. | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Gardena, CA
- NPI 1215027446
-
- Foot & Ankle Surgery Podiatrist
- Tarzana, CA
- NPI 1124617576
-
- Foot & Ankle Surgery Podiatrist
- Upland, CA
- NPI 1205387461
-
- Adolescent Medicine (Internal Medicine) Physician
- Panorama City, CA
- NPI 1972624955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gardena, CA
- NPI 1063412005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.