Individual provider Active NPI

Yasamin Daneshvar

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
National Provider Identifier
1881338317
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6114 Issued in CA
Practice address
5565 Grossmont Center Dr
La Mesa, CA 91942-3020
Phone
(619) 295-9494
NPI assigned
Apr 21, 2022
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 E6114 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr
La Mesa, CA 91942-3020

Mailing address

PO Box 34869
Belfast, ME 04915-0626

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
I20250529002981 CA Practitioner - Podiatry 7618486903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

5565 Grossmont Ctr Dr
Suite 353
La Mesa, CA 91942-3027
Phone (619) 465-3443

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue84
Removal or shaving of skin growth50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6114CAMDFoot & Ankle Surgery Podiatrist
6114CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Foot Care PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Socal Foot Care PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients

Locations

9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218

5565 Grossmont Center Dr
Ste 152
La Mesa, CA 91942
Phone (619) 440-2202

5565 Grossmont Center Dr
Ste 353
La Mesa, CA 91942
Phone (619) 465-3443

39755 Murrieta Hot Springs Rd
Ste D130
Murrieta, CA 92563
Phone (951) 698-4611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yasamin.daneshvar.1@20181.direct.athenahealth.com
  • Direct secure messaging: ydaneshvar495166@nyumc.direct-ci.com

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, 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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1881338317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34869",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-295-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHVAR",
        "first_name": "YASAMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.