Organization Active NPI

Regel Foot and Ankle Associates Incorporated

  • Podiatrist
  • North Hollywood, CA
National Provider Identifier
1750120382
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
REGEL FOOT AND ANKLE ASSOCIATES INCORPORATED
Practice address
12826 Victory Blvd
North Hollywood, CA 91606-3065
Phone
(310) 422-6424
Fax
(310) 595-5962
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Jonathan J Pirak, DPMNPI 1528598133
Title
President
Phone
(310) 422-6424

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

12826 Victory Blvd
North Hollywood, CA 91606-3065

Mailing address

3126 S Sepulveda Blvd Ste 304
Los Angeles, CA 90034-4236
Phone (310) 422-6424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820000416 CA Part B Supplier - Clinic/Group Practice 5395283592 Receives reassigned benefits from 1 practitioner
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

3126 S Sepulveda Blvd
Los Angeles, CA 90034

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1750120382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 S SEPULVEDA BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344236",
            "telephone_number": "310-422-6424",
            "fax_number": "310-595-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063065",
            "telephone_number": "310-422-6424",
            "fax_number": "310-595-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEL FOOT AND ANKLE ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "PIRAK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-422-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.