Organization Active NPI

Albert Elhiani DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1780215210
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ALBERT ELHIANI DPM INC
Practice address
9233 W Pico Blvd Ste 201
Los Angeles, CA 90035-1385
Phone
(424) 279-9332
Fax
(424) 279-9333
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Dr. Albert A Elhiani, DPMNPI 1699298539
Title
Corporate Officer
Phone
(424) 279-9332

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

9233 W Pico Blvd Ste 201
Los Angeles, CA 90035-1385

Mailing address

9340 W Pico Blvd Ste 2
Los Angeles, CA 90035-1255
Phone (510) 457-1463

Other practice location 1

9340 W Pico Blvd Ste 2
Los Angeles, CA 90035-1255
Phone (510) 457-1463

Other identifiers 1

IdentifierTypeStateIssuer
1699298539MedicaidCA

Other names 1

  • Eazy Foot & Ankle Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cslinkmobile.csmc.edu/fhirproxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Cedars Sinai Medical Center

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200415002686 CA Part B Supplier - Clinic/Group Practice 2264862218 Receives reassigned benefits from 6 practitioners
Practice locations: Los Angeles, CA
O20220913000601 CA DME Supplier - Physician - Podiatry 2264862218 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

9340 W Pico Blvd
Fl 2
Los Angeles, CA 90035
Phone (424) 279-9332

9233 W Pico Blvd
Ste 218
Los Angeles, CA 90035
Phone (510) 457-1463

9233 W Pico Blvd
Ste 2
Los Angeles, CA 90035

9340 W Pico Blvd
Ste 2
Los Angeles, CA 90035
Phone (510) 457-1463

Practitioners & affiliated clinicians

Practitioners 6

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1780215210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 W PICO BLVD STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351255",
            "telephone_number": "510-457-1463",
            "fax_number": "310-288-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 W PICO BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351385",
            "telephone_number": "424-279-9332",
            "fax_number": "424-279-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9340 W Pico Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900351255",
            "country_code": "US",
            "telephone_number": "510-457-1463",
            "fax_number": "310-288-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALBERT ELHIANI DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "ELHIANI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "424-279-9332",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699298539",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cslinkmobile.csmc.edu/fhirproxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "Cedars Sinai",
            "affiliationName": "Cedars Sinai Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8700 Beverly Blvd",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900481804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eazy Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2022; 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.