Active NPI
Mahkameh Yousefpour, DPM
- Foot & Ankle Surgery Podiatrist
- Huntington Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4751
- Practice address
- 2660 E Florence Ave
Huntington Park, CA 90255-4708 - Phone
- (323) 588-5343
- Fax
- (323) 588-1780
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- 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 | E4751 | CA | Primary |
Addresses
Primary practice location
2660 E Florence Ave
Huntington Park, CA 90255-4708
Mailing address
2660 E Florence Ave
Huntington Park, CA 90255-4708
Phone (323) 588-5343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E4751 | Other | CA | STATE LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1704 Colorado Blvd
Los Angeles, CA 90041-1338
Phone (323) 256-4116
2660 E Florence Ave
Huntington Park, CA 90255-4708
Phone (626) 939-0715
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 261 |
| Removal or shaving of skin growth | 313 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4751 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Community Health Centers, Inc | Current | Accepting new patients | |
| Comprehensive Community Health Centers Inc | Current | Accepting new patients | |
| Comprehensive Community Health Centers, Inc. | Current | Accepting new patients | |
| Michael D. Kotzen, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
| Home Foot Care, Inc. | Past | Accepting new patients |
Locations
801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259
1704 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 256-4116
8316 Foothill Blvd
Sunland, CA 91040
Phone (818) 273-8800
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1356362743
-
- Family Medicine Physician
- Arleta, CA
- NPI 1346951654
-
- Federally Qualified Health Center (FQHC)
- Sunland, CA
- NPI 1972954071
-
- Podiatrist
- Van Nuys, CA
- NPI 1447480785
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1881868065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554708",
"telephone_number": "323-588-5343",
"fax_number": "323-588-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554708",
"telephone_number": "323-588-5343",
"fax_number": "323-588-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSEFPOUR",
"first_name": "MAHKAMEH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E4751",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.