Foot Specialists of Northridge - Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E-2430 Issued in CA

Legal business name

FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP

Practice address

32144 Agoura Rd.
Suite 105
Westlake Village, CA 91361

Phone

(818) 706-1924

Fax

(818) 706-1369

NPI assigned

Feb 2, 2006

Organization subpart

Yes

Parent organization

FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUPAs reported in NPPES

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

Authorized official

Name

Mr. Stefan Feldman, D.P.M.

Title

Owner

Phone

(818) 706-1924

Specialties & licenses 3

Addresses

Other names 1

• Foot Specialist of the Conejo Valley Doing business as

Part of

Foot Specialists Northr

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Foot Specialists of Northridge - Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Granada Hills, CA
  • NPI 1942418348
  NPPES parent name

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1801868013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD.",
            "address_2": "SUITE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-363-9900",
            "fax_number": "818-363-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD.",
            "address_2": "SUITE 105",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "818-706-1924",
            "fax_number": "818-706-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-706-1924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E-2430",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E-2279",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Specialist of the Conejo Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorena Flores, BCBA
• Lynn Foerster, PHD
• Carol Hungha Fok, RNP
• Rene Folse, PH.D.
• Jeffrey L. Foltz, D.D.S
• Danielle Ford
• Jilianne Meta Foster
• Four Crowns Health and Wellness Inc.
• Fox Therapy Services
• Fox Therapy Services

• Foot & Ankle Surgery Podiatrist in Westlake Village, CA
• Providers in Westlake Village, 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 Mar 11, 2015; 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.