Active NPI
Nshan D Dekeyan, DPM
- Podiatrist
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5603
- Practice address
- 7640 Tampa Ave Ste 106
Reseda, CA 91335-1713 - Phone
- (818) 697-8767
- Fax
- (818) 657-8776
- NPI assigned
- Aug 3, 2017
- Last updated
- Jul 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Podiatrist | 213E00000X | E5603 | CA | Primary |
Addresses
Primary practice location
7640 Tampa Ave Ste 106
Reseda, CA 91335-1713
Mailing address
7640 Tampa Ave Ste 106
Reseda, CA 91335-1713
Phone (818) 697-8767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Los Angeles
Practice addresses (Care Compare)
5115 Clareton Dr
Suite 120
Agoura Hills, CA 91301-6313
Phone (818) 707-3668
7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone (818) 627-3050
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 241 |
| Removal or shaving of skin growth | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5603 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Jeffrey Demian Inc | Current | Accepting new patients | |
| Nshan D Dekeyan DPM | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Agoura-Los Robles Podiatry Centers | Current | Accepting new patients | |
| Michael a. Zapf, DPM | Podiatrist | Past | Accepting new patients |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Locations
5115 Clareton Dr
Ste 120
Agoura Hills, CA 91301
Phone (805) 497-6979
17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009
15206 Parthenia St
Sepulveda, CA 91343
125 Parrot Ln
Simi Valley, CA 93065
Phone (805) 497-6979
425 Haaland Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 496-2383
555 Marin St
Ste 290
Thousand Oaks, CA 91360
Phone (805) 497-6979
7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Thousand Oaks, CA
- NPI 1932386877
-
dba Anywhere Foot and Ankle Care
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1306339759
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hollywood, CA
- NPI 1710102009
-
- Foot & Ankle Surgery Podiatrist
- Northridge, CA
- NPI 1639844194
-
dba Martin Luther King, Jr. Outpatient Center
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Primary Care Clinic/Center
- Monrovia, CA
- NPI 1063795250
-
- Community Health Clinic/Center
- North Hills, CA
- NPI 1710370747
-
dba Agoura Los Robles Podiatry
- Foot & Ankle Surgery Podiatrist
- Agoura Hills, CA
- NPI 1457549933
-
dba Orange County Global Medical Center
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Angeles County Olive View-UCLA Medical Center
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134143415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1932623659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7640 TAMPA AVE STE 106",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351713",
"telephone_number": "818-697-8767",
"fax_number": "818-657-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7640 TAMPA AVE STE 106",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351713",
"telephone_number": "818-697-8767",
"fax_number": "818-657-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKEYAN",
"first_name": "NSHAN",
"middle_name": "D",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.