Professional Foot and Ankle Center, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PROFESSIONAL FOOT AND ANKLE CENTER, INC

Practice address

28631 S Western Ave Ste 102
Rancho Palos Verdes, CA 90275-0816

Phone

(818) 558-7075

Fax

(818) 558-7081

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armin Feradouni Nejad, DPMNPI 1609046077

Title

Owner, President

Phone

(818) 571-5358

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Professional Foot and Ankle Center, Inc

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1124431911

  3173743606

  Same PAC ID

Tax ID family

Professional Foot and Ankle Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Foot and Ankle Center, Inc

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1124431911
  NPD tax ID

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.

• Armin Feradouni Nejad, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1609046077
  NPD Authorized official
• Shadi Yadegaran

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1568886075
  NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1801318597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE STE 208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054810",
            "telephone_number": "818-558-7075",
            "fax_number": "818-558-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28631 S WESTERN AVE STE 102",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750816",
            "telephone_number": "818-558-7075",
            "fax_number": "818-558-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FOOT AND ANKLE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "FERADOUNI NEJAD",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "818-571-5358",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E4767",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Marie Phelan
• Placik MD, P.C.
• Leslie Poelns-Joseph, M.D.
• Nahdir Pourteymoor, D.C.
• Precision Care Supplies LLC
• Prosport Physical Therapy Professionals Inc (Palos Verdes Physical Therapy)
• Albert NMN Puskas, M.D.
• Regilah Ann Tan Ramon, NURSE PRACTITIONER
• Rancho Vazin Chiropractic Inc
• Rasooli Podiatry Corporation

• Foot & Ankle Surgery Podiatrist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.