NPIMap

Organization Active NPI

West Coast Foot and Ankle Institute PC

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
National Provider Identifier
1932506516
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5019 Issued in CA
Legal business name
WEST COAST FOOT AND ANKLE INSTITUTE PC
Practice address
20548 Ventura Blvd Apt 217
Woodland Hills, CA 91364-6470
Phone
(917) 687-7528
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Aleksander Valentinovich Lavrenov, D.P.M.NPI 1992937379
Title
President
Phone
(917) 687-7528

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: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5019 CA Primary

Addresses

Primary practice location

20548 Ventura Blvd Apt 217
Woodland Hills, CA 91364-6470

Mailing address

20548 Ventura Blvd Apt 217
Woodland Hills, CA 91364-6470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002378 CA Part B Supplier - Clinic/Group Practice 7315238748 Receives reassigned benefits from 2 practitioners
Practice locations: Montrose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1932506516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20548 VENTURA BLVD APT 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20548 VENTURA BLVD APT 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646470",
            "telephone_number": "917-687-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST FOOT AND ANKLE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "LAVRENOV",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_middle_name": "VALENTINOVICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-687-7528",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.