Individual provider Active NPI

Karim Manji, DPM

  • Foot & Ankle Surgery Podiatrist
  • Studio City, CA
National Provider Identifier
1790097418
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
EL1820 Issued in CA
Practice address
4150 Arch Dr
#425
Studio City, CA 91604-3203
Phone
(216) 440-1774
NPI assigned
Jul 10, 2010
Last updated
Jul 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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 EL1820 CA Primary

Addresses

Primary practice location

4150 Arch Dr
#425
Studio City, CA 91604-3203

Mailing address

4150 Arch Drive
#425
Studio City, CA 91604
Phone (216) 440-1774

Other identifiers 1

IdentifierTypeStateIssuer
TF693985OtherOHDMV OHIO

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
EL1820CAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1790097418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 ARCH DRIVE",
            "address_2": "#425",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91604",
            "telephone_number": "216-440-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 ARCH DR",
            "address_2": "#425",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043203",
            "telephone_number": "216-440-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJI",
        "first_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV OHIO",
            "identifier": "TF693985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.