Individual provider Active NPI

Nshan D Dekeyan, DPM

  • Podiatrist
  • Reseda, CA
National Provider Identifier
1932623659
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5603 Issued in CA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618002116 CA Practitioner - Podiatry 5193147213 Reassigns benefits to 5 organizations
Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agoura-Los Robles Podiatry CentersGroup PAC ID 0648344200, 6 clinicians
County of Los AngelesGroup PAC ID 1850296534, shared by 7 NPIs, 395 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue241
Removal or shaving of skin growth48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5603CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Jeffrey Demian Inc CurrentSince Jun 1, 2022 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. CurrentSince Jun 14, 2022 Accepting new patients
County of Los Angeles CurrentSince Oct 10, 2025 Accepting new patients
Agoura-Los Robles Podiatry Centers CurrentSince Feb 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.