Organization Active NPI

Toluca Lake Foot Institute Inc

  • Foot & Ankle Surgery Podiatrist
  • Toluca Lake, CA
National Provider Identifier
1790471415
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TOLUCA LAKE FOOT INSTITUTE INC
Practice address
10916 Riverside Dr
Toluca Lake, CA 91602-2210
Phone
(818) 488-6076
Fax
(818) 210-0281
NPI assigned
Apr 14, 2023
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Benjamin Tehrani, DPM
Title
Ceo/ Owner
Phone
(818) 488-6076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

10916 Riverside Dr
Toluca Lake, CA 91602-2210

Mailing address

10916 Riverside Dr
Toluca Lake, CA 91602-2210
Phone (818) 488-6076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1790471415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022210",
            "telephone_number": "818-488-6076",
            "fax_number": "818-210-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10916 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022210",
            "telephone_number": "818-488-6076",
            "fax_number": "818-210-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLUCA LAKE FOOT INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "818-488-6076",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.