Organization Active NPI

Foot & Ankle Clinic Inc

Doing business as Valencia Foot & Ankle Center

  • Podiatrist
  • Newhall, CA
National Provider Identifier
1851492417
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4191 Issued in CA
Legal business name
FOOT & ANKLE CLINIC INC
Doing business as
Valencia Foot & Ankle Center
Practice address
23206 Lyons Ave
Ste 108
Newhall, CA 91321-2667
Phone
(661) 288-2321
Fax
(661) 288-0378
NPI assigned
Sep 26, 2006
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Frederick Avakian, DPMNPI 1497940704
Title
Owner /President
Phone
(661) 288-2321

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
Podiatrist 213E00000X E4191 CA Primary

Addresses

Primary practice location

23206 Lyons Ave
Ste 108
Newhall, CA 91321-2667

Mailing address

23206 Lyons Ave
Ste 108
Newhall, CA 91321-1111
Phone (661) 288-2321

Other names 1

  • Valencia Foot & Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041109001261 CA Part B Supplier - Clinic/Group Practice 8224091327 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA
O20100930066461 CA DME Supplier - Physician - Podiatry 8224091327 Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

5907 Lankershim Blvd
North Hollywood, CA 91601
Phone (818) 980-3073

23206 Lyons Ave
Ste 108
Santa Clarita, CA 91321
Phone (661) 288-2321

27875 Smyth Dr
Ste 100
Valencia, CA 91355
Phone (661) 288-2321

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1851492417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "STE 108",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211111",
            "telephone_number": "661-288-2321",
            "fax_number": "661-288-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "STE 108",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212667",
            "telephone_number": "661-288-2321",
            "fax_number": "661-288-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "661-288-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valencia Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.