Footfairy LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOTFAIRY LLC

Practice address

4708 Vista del Monte Ave
Sherman Oaks, CA 91403-2941

Phone

(315) 206-4310

NPI assigned

Mar 4, 2026

Organization subpart

No

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

Authorized official

Name

Gi Ryoung Kwon, DPM

Title

Sole Member

Phone

(201) 723-4661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Gi Ryoung Kwon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Santa Monica, CA
  • NPI 1134708100
  Medicare reassignment NPD

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1902751886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 VISTA DEL MONTE AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032941",
            "telephone_number": "315-206-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 VISTA DEL MONTE AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032941",
            "telephone_number": "315-206-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTFAIRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "GI",
        "authorized_official_middle_name": "RYOUNG",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "201-723-4661",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Flug, LCSW
• Samantha Fogel
• Tim Fogliano
• Giselle Marie Folgar, LMFT
• Alexis Fonseca
• Ashely Ford
• Yoselin Forero Gomez
• Ramin Foroughi, DDS
• Ronnie Scott Forslund
• Danielle Dolores Foster

• Podiatrist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.