NPIMap

Organization Active NPI

University Foot & Ankle Institute Podiactric Surgical Center

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1750893707
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5283 Issued in CA
Legal business name
UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER
Practice address
1245 Wilshire Blvd Ste 810
Los Angeles, CA 90017-4808
Phone
(310) 828-0011
Fax
(310) 828-2001
NPI assigned
Oct 31, 2017
Last updated
Oct 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Babak BaravarianNPI 1952310799
Title
Partner
Phone
(310) 828-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5283 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 810
Los Angeles, CA 90017-4808

Mailing address

2121 Wilshire Blvd Ste 101
Santa Monica, CA 90403-5742
Phone (310) 828-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000895 CA Part B Supplier - Clinic/Group Practice 3971493347 Receives reassigned benefits from 26 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Monica, CA; Westlake Village, CA; Valencia, CA; Torrance, CA; Sherman Oaks, CA; Santa Barbara, CA; San Pedro, CA; Northridge, CA…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1750893707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035742",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174808",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "BARAVARIAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-828-0011"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5283",
            "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 Oct 31, 2017; 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.