NPIMap

Organization Active NPI

University Foot and Ankle Institute a Podiatric Surgical Center

Doing business as University Foot & Ankle Institute

  • Podiatrist
  • Santa Monica, CA
National Provider Identifier
1912014986
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4186 Issued in CA
Legal business name
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Doing business as
University Foot & Ankle Institute
Practice address
2121 Wilshire Blvd
Suite 101
Santa Monica, CA 90403
Phone
(310) 828-0011
Fax
(310) 828-2001
NPI assigned
Aug 24, 2006
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mr. Alex Reyzelman, DPM
Title
Rcmo
Phone
(510) 581-1484

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4186 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2121 Wilshire Blvd
Suite 101
Santa Monica, CA 90403

Mailing address

2121 Wilshire Blvd
Suite 101
Santa Monica, CA 90403
Phone (310) 828-0011

Other practice location 1

27421 Tourney Rd Ste 101
Valencia, CA 91355-5645
Phone (310) 828-0111

Other practice location 2

1360 W 6th St Ste 240
San Pedro, CA 90732-3589
Phone (310) 548-3311

Other practice location 3

23501 Cinema Dr Ste 209
Valencia, CA 91355-5430
Phone (661) 254-0795

Other practice location 4

32144 Agoura Rd Ste 105
Westlake Village, CA 91361-4039
Phone (310) 828-0011

Other practice location 5

5230 Pacific Concourse Dr
Los Angeles, CA 90045-6200
Phone (310) 828-0011

Other practice location 6

3655 Lomita Blvd Ste 120
Torrance, CA 90505-1907
Phone (310) 791-1092

Other practice location 7

14 E Arrellaga St
Santa Barbara, CA 93101-2502
Phone (310) 828-0011

Other practice location 8

3984 S Figueroa St
Los Angeles, CA 90037-1222
Phone (213) 747-7272

Other practice location 9

5170 Sepulveda Blvd Ste 100
Sherman Oaks, CA 91403-6501
Phone (310) 828-0011

Other identifiers 1

IdentifierTypeStateIssuer
P00054144OtherCAMEDICARE RAILROAD

Other names 1

  • University Foot & Ankle Institute Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000895 CA Part B Supplier - Clinic/Group Practice 3971493347 Receives reassigned benefits from 26 practitioners
19 other NPIs on this enrollment
Practice locations: Santa Monica, CA; Westlake Village, CA; Valencia, CA; Torrance, CA; Sherman Oaks, CA; Santa Barbara, CA; San Pedro, CA; Northridge, CA…
O20100930036406 CA DME Supplier - Physician - Podiatry 3971493347 Practice locations: Santa Monica, CA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
University Foot Ankle Institute Podiactric Surgical Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4849 Van Nuys Blvd
Ste 205A
Sherman Oaks, CA 91403

27421 Tourney Rd
Ste 101
Valencia, CA 91355
Phone (310) 828-0111

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1912014986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27421 Tourney Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555645",
            "country_code": "US",
            "telephone_number": "310-828-0111",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 W 6th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323589",
            "country_code": "US",
            "telephone_number": "310-548-3311",
            "fax_number": "310-791-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23501 Cinema Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555430",
            "country_code": "US",
            "telephone_number": "661-254-0795",
            "fax_number": "310-791-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32144 Agoura Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913614039",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5230 Pacific Concourse Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900456200",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Lomita Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905051907",
            "country_code": "US",
            "telephone_number": "310-791-1092",
            "fax_number": "310-791-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 E Arrellaga St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012502",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3984 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900371222",
            "country_code": "US",
            "telephone_number": "213-747-7272",
            "fax_number": "310-791-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5170 Sepulveda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914036501",
            "country_code": "US",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "RCMO",
        "authorized_official_telephone_number": "510-581-1484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4186",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00054144",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Foot & Ankle Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.