Organization Active NPI

La and Oc Foot and Ankle Surgery Inc

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, CA
National Provider Identifier
1912797101
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LA AND OC FOOT AND ANKLE SURGERY INC
Practice address
5750 Downey Ave Ste 203
Lakewood, CA 90712-1471
Phone
(562) 200-0334
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Joseph Yacoub, DPMNPI 1912498940
Title
Owner
Phone
(909) 419-6781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

5750 Downey Ave Ste 203
Lakewood, CA 90712-1471

Mailing address

3034 Spyglass CT
Chino Hills, CA 91709-2488
Phone (909) 419-6781

Other practice location 1

1043 Elm Ave Ste 407
Long Beach, CA 90813-3206
Phone (562) 491-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317004054 CA Part B Supplier - Clinic/Group Practice 5597249649 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1912797101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 SPYGLASS CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092488",
            "telephone_number": "909-419-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 203",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121471",
            "telephone_number": "562-200-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Elm Ave Ste 407",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133206",
            "country_code": "US",
            "telephone_number": "562-491-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA AND OC FOOT AND ANKLE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-419-6781",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.