Active NPI
Elnaz Hamedani, DPM
- Podiatrist
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 7022
- Practice address
- 309 E 2ND St
Pomona, CA 91766-1854 - Phone
- (909) 469-8469
- NPI assigned
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 7022 | CA | Primary |
Addresses
Primary practice location
309 E 2ND St
Pomona, CA 91766-1854
Mailing address
309 E 2ND St
Pomona, CA 91766-1854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6066 | Other | CA | PODIATRIC MEDICAL BOARD OF CALIFORNIA |
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
- Western Un of HLTH Sciences, Col of Podiatric Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7022 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western University of Health Sciences | Podiatrist | Current | Accepting new patients |
| De Anza Orthopedic Medical Group, Inc. | Current | Accepting new patients | |
| Western University of Health Sciences | Current | Accepting new patients | |
| Western University of Health Sciences | Podiatrist | Current | Accepting new patients |
Locations
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
26600 Cactus Ave
Fl 2
Moreno Valley, CA 92555
795 E 2nd St
Ste 7
Pomona, CA 91766
Phone (909) 469-8673
795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877
309 E 2nd St
Pomona, CA 91766
Phone (909) 469-5589
795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673
8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950
Interoperability endpoints
- ehamedani264291@direct.llu.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Pomona, CA
- NPI 1679515217
Podiatrist
-
- Orthopaedic Surgery Physician
- Moreno Valley, CA
- NPI 1255762340
-
- Pharmacy
- Pomona, CA
- NPI 1295051779
-
- Podiatrist
- Pomona, CA
- NPI 1689996100
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1942955190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-469-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEDANI",
"first_name": "ELNAZ",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-16",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "7022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC MEDICAL BOARD OF CALIFORNIA",
"identifier": "6066",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.