Central California Leg, Foot, and Ankle Center, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC.

Practice address

1073 Ross Ave Ste D
El Centro, CA 92243-4371

Phone

(305) 310-8155

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By 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

Ali GhorbanifarajzadehNPI 1164824249

Title

President

Phone

(305) 310-8155

Specialties & licenses 1

Addresses

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).

• Central California Leg, Foot, and Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Lake Forest, CA
  • NPI 1417579129

  5991119539

  Same PAC ID

Locations

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.

• Ali Ghorbanifarajzadeh, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bakersfield, CA
  • NPI 1164824249
  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1881281038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 REGAL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203542",
            "telephone_number": "305-310-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 ROSS AVE STE D",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434371",
            "telephone_number": "305-310-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "GHORBANIFARAJZADEH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-310-8155"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Celaya
• Rosemary Celaya
• Victor M Celaya Jr.
• Adrian Celis
• Isis Centeno
• Central Home Medical Inc.
• Central Union High School District
• Janel Cerda
• Nicole Cerny, OTR
• Andrea Celeste Cervantes

• Foot & Ankle Surgery Podiatrist in El Centro, CA
• Providers in El Centro, 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 Dec 22, 2020; 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.