Organization Active NPI

Next Generation Foot and Ankle, Inc

  • Podiatrist
  • Glendale, CA
National Provider Identifier
1710516042
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEXT GENERATION FOOT AND ANKLE, INC
Practice address
800 S Central Ave Ste 202
Glendale, CA 91204-4375
Phone
(818) 927-3668
Fax
(818) 927-3686
NPI assigned
Apr 7, 2020
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Samvel Hovany Keshishyan, DPMNPI 1659721850
Title
Owner
Phone
(818) 927-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

800 S Central Ave Ste 202
Glendale, CA 91204-4375

Mailing address

800 S Central Ave Ste 202
Glendale, CA 91204-4375
Phone (818) 927-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200508001646 CA Part B Supplier - Clinic/Group Practice 5799116687 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA
O20250213001494 CA DME Supplier - Physician - Podiatry 5799116687 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

800 S Central Ave
Ste 202
Glendale, CA 91204
Phone (818) 927-3668

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": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1710516042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "telephone_number": "818-927-3668",
            "fax_number": "818-927-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "telephone_number": "818-927-3668",
            "fax_number": "818-927-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT GENERATION FOOT AND ANKLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KESHISHYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_middle_name": "HOVANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-927-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.