Organization Active NPI

La Podiatry Center Inc

  • Foot & Ankle Surgery Podiatrist
  • North Hollywood, CA
National Provider Identifier
1790583086
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LA PODIATRY CENTER INC
Practice address
12840 Riverside Dr Ste 204
North Hollywood, CA 91607-3341
Phone
(818) 850-3612
Fax
(818) 301-0336
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Arash JalilNPI 1326686015
Title
Podiatrist
Phone
(818) 850-3612

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

12840 Riverside Dr Ste 204
North Hollywood, CA 91607-3341

Mailing address

12840 Riverside Dr Ste 204
North Hollywood, CA 91607-3341
Phone (818) 850-3612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250324000489 CA Part B Supplier - Clinic/Group Practice 5991227696 Receives reassigned benefits from 1 practitioner
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

12840 Riverside Dr
Valley Vlg, CA 91607
Phone (323) 686-3045

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1790583086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073341",
            "telephone_number": "818-850-3612",
            "fax_number": "818-301-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073341",
            "telephone_number": "818-850-3612",
            "fax_number": "818-301-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PODIATRY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "JALIL",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "818-850-3612"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "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 Mar 4, 2025; 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.