Performance Foot & Ankle Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5139 Issued in CA

Legal business name

PERFORMANCE FOOT & ANKLE INC

Practice address

3095 Old Conejo Rd Ste 100
Newbury Park, CA 91320-2130

Phone

(805) 273-1415

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Heraj Patel, DPMNPI 1225380462

Title

President

Phone

(805) 273-1415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heraj Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Thousand Oaks, CA
  • NPI 1225380462
  Medicare reassignment Care Compare group NPD Authorized official
• Neenah Corinne Aguirre-Wong, DPM

  • Foot & Ankle Surgery Podiatrist
  • Camarillo, CA
  • NPI 1659997625
  Medicare reassignment Care Compare group NPD
• Brooke Ashley Gifford, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newbury Park, CA
  • NPI 1750563995
  Medicare reassignment Care Compare group NPD
• Craig Randall Parent, DPM

  • Podiatrist
  • Camarillo, CA
  • NPI 1699779272
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1912410234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 100",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 100",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "805-273-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HERAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-273-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parveen a Khan
• Rishi Alpesh Patel, DDS
• Sherry R Paterak, MFT
• Mary Pat Leonie Paulson, APCC
• Pardis Payami
• Peter Low MD Inc
• Eleanor Kay Pew, MFT
• Darlene My Phan
• Pharmacy Care Solutions, Inc.
• Pharmacy Care Solutions, Inc.

• Foot & Ankle Surgery Podiatrist in Newbury Park, CA
• Providers in Newbury Park, 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 13, 2017; 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.