Individual provider Active NPI

Aziz Berjis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Van Nuys, CA
National Provider Identifier
1720163710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4381 Issued in CA
Practice address
6850 Sepulveda Blvd
#209
Van Nuys, CA 91405-4444
Phone
(310) 275-5588
Fax
(818) 986-2481
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 E4381 CA Primary

Addresses

Primary practice location

6850 Sepulveda Blvd
#209
Van Nuys, CA 91405-4444

Mailing address

PO Box 571163
Tarzana, CA 91357-1163

Other identifiers 1

IdentifierTypeStateIssuer
E43810OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4381CAMDFoot & Ankle Surgery Podiatrist
4381CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Oaks Surgery Center Inc. a Medical Corporation PastSince Oct 31, 2015 Accepting new patients
Glendale Multi-Specialty Surgery Center, LLC PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720163710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571163",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913571163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD",
            "address_2": "#209",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054444",
            "telephone_number": "310-275-5588",
            "fax_number": "818-986-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERJIS",
        "first_name": "AZIZ",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "E43810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.