Organization Active NPI

Kin Foot and Ankle Inc.

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1710739073
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KIN FOOT AND ANKLE INC.
Practice address
11860 Wilshire Blvd Ste 301
Los Angeles, CA 90025-6654
Phone
(310) 853-0084
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Dr. Megan Ishibashi, DPMNPI 1093210627
Title
Ceo
Phone
(916) 261-1561

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

11860 Wilshire Blvd Ste 301
Los Angeles, CA 90025-6654

Mailing address

400 Cypress Ave Unit 705
South San Francisco, CA 94080-3799
Phone (916) 261-1561

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251001001910 CA Part B Supplier - Clinic/Group Practice 9931605789 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA
O20260128001976 CA DME Supplier - Physician - Podiatry 9931605789 Practice locations: Los Angeles, CA

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1710739073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CYPRESS AVE UNIT 705",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803799",
            "telephone_number": "916-261-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256654",
            "telephone_number": "310-853-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN FOOT AND ANKLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "ISHIBASHI",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-261-1561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.