Active NPI
Alan Jay Snyder, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
National Provider Identifier
1841224730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2497
- Practice address
- 1909 Hillhurst Ave
Los Angeles, CA 90027-2711 - Phone
- (323) 666-5585
- Fax
- (323) 666-9784
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2497 | CA | Primary |
Addresses
Primary practice location
1909 Hillhurst Ave
Los Angeles, CA 90027-2711
Mailing address
1909 Hillhurst Ave
Los Angeles, CA 90027-2711
Phone (323) 666-5585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95 3778467 | Other | CA | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080605000912 | CA | Practitioner - Podiatry | 3971673609 | Practice locations: Los Angeles, CA; Perris, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2497 | CA | MD | Pharmacy Technician |
| E2497 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cha Hollywood Medical Center, LP | Past | Accepting new patients | |
| California Cancer Specialists Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1912006636
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1841224730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 HILLHURST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272711",
"telephone_number": "323-666-5585",
"fax_number": "323-666-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 HILLHURST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272711",
"telephone_number": "323-666-5585",
"fax_number": "323-666-9784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "ALAN",
"middle_name": "JAY",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "95 3778467",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.