Individual provider Active NPI

Andrew Reza Langroudi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Oxnard, CA
National Provider Identifier
1740257609
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4469 Issued in CA
Practice address
2100 Solar Dr.
Suite #102
Oxnard, CA 93036
Phone
(805) 988-3338
Fax
(805) 830-1537
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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 E4469 CA Primary

Addresses

Primary practice location

2100 Solar Dr.
Suite #102
Oxnard, CA 93036

Mailing address

2100 Solar Dr.
Suite #102
Oxnard, CA 93036
Phone (805) 988-3338

Other practice location 1

1901 Solar Dr
ste 110
Oxnard, CA 93036-2641
Phone (805) 988-3338

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
I20050930000650 CA Practitioner - Podiatry 0840225538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Concepts IncGroup PAC ID 5395770085, 10 clinicians

Practice addresses (Care Compare)

2100 Solar Dr
Suite 102
Oxnard, CA 93036-0649
Phone (805) 988-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue124
Removal of skin lesions17
Removal of nail tissue588
Removal or shaving of skin growth346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4469CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Concepts, Inc Foot & Ankle Surgery CurrentSince Jan 18, 2005 Accepting new patients
Peripheral Vascular Institute, Inc. a Podiatry Corp CurrentSince Aug 20, 2019 Accepting new patients
Solar Health Doctors Inc. PastSince Feb 20, 2016 Accepting new patients
Solar Urgent Care Inc. PastSince Sep 8, 2014 Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

3901 Las Posas Rd
Ste 204
Camarillo, CA 93010
Phone (805) 383-2929

3901 Las Posas Rd
Ste 201
Camarillo, CA 93010
Phone (805) 484-1333

2100 Solar Dr
Ste 102
Oxnard, CA 93036
Phone (805) 650-8333

2100 Solar Dr
Ste 103
Oxnard, CA 93036
Phone (805) 293-6436

1901 Solar Dr
Ste 110
Oxnard, CA 93036
Phone (805) 988-3338

650 Commerce Ave
Ste D
Palmdale, CA 93551
Phone (661) 272-6898

4910 Van Nuys Blvd
Ste 300
Sherman Oaks, CA 91403
Phone (818) 785-0750

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

3180 Willow Ln
Ste 108
Thousand Oaks, CA 91361
Phone (805) 370-3338

250 S Mills Rd
Ste 101
Ventura, CA 93003
Phone (805) 650-8333

Organizations & group practices 5

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1740257609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR.",
            "address_2": "SUITE #102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR.",
            "address_2": "SUITE #102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Solar Dr",
            "address_2": "ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362641",
            "country_code": "US",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGROUDI",
        "first_name": "ANDREW",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.