Individual provider Active NPI

Alireza Khosroabadi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
National Provider Identifier
1841490620
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4728 Issued in CA
Practice address
23164 Ventura Blvd Unit C
Woodland Hills, CA 91364-1101
Phone
(818) 914-5686
Fax
(818) 408-2452
NPI assigned
Jul 20, 2007
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4728 CA Primary

Addresses

Primary practice location

23164 Ventura Blvd Unit C
Woodland Hills, CA 91364-1101

Mailing address

23164 Ventura Blvd
Woodland Hills, CA 91364-1101
Phone (818) 914-5686

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000490 CA Practitioner - Podiatry 1951480524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Foot and Ankle Alliance IncGroup PAC ID 1153400726, 2 clinicians
Calabasas Podiatry GroupGroup PAC ID 7719345867, 2 clinicians

Practice addresses (Care Compare)

18366 Clark St
Suite 106
Tarzana, CA 91356-3502
Phone (818) 345-5585

23164 Ventura Blvd
Woodland Hills, CA 91364-1101
Phone (818) 914-5686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions17
Removal of nail tissue481
Removal or shaving of skin growth425
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4728CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
International Center for Minimally Invasive Foot Surgery Foot & Ankle Surgery CurrentSince Sep 1, 2020 Accepting new patients
Cutting Edge Surgical Institute, Inc CurrentSince Apr 1, 2015 Accepting new patients
Calabasas Podiatry Group Foot & Ankle Surgery CurrentSince Jan 21, 2023 Accepting new patients
Zeno Surgery Center Inc. PastSince Aug 1, 2022 Accepting new patients

Locations

11273 Laurel Canyon Blvd
Ste 4
San Fernando, CA 91340
Phone (818) 408-2800

23164 Ventura Blvd
Ste C
Woodland Hills, CA 91364
Phone (818) 629-8988

23164 Ventura Blvd
Woodland Hls, CA 91364
Phone (818) 914-5686

23164 Ventura Blvd
Ste D
Woodland Hls, CA 91364
Phone (818) 914-5686

23164 Ventura Blvd
Unit D
Woodland Hls, CA 91364

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1841490620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23164 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641101",
            "telephone_number": "818-914-5686",
            "fax_number": "818-914-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23164 VENTURA BLVD UNIT C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641101",
            "telephone_number": "818-914-5686",
            "fax_number": "818-408-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSROABADI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.