NPIMap

Organization Active NPI

M & K Podiatric Medical Management

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
National Provider Identifier
1952398265
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4536 Issued in CA
Legal business name
M & K PODIATRIC MEDICAL MANAGEMENT
Practice address
4314 W Victory Blvd
Burbank, CA 91505-1334
Phone
(818) 843-6611
Fax
(818) 843-6656
NPI assigned
Oct 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Ara Kelekian, D.P.M.NPI 1871598748
Title
Partner
Phone
(323) 270-0295

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4536 CA Primary
Customized Equipment (DME) 332BC3200X E4536 CA

Addresses

Primary practice location

4314 W Victory Blvd
Burbank, CA 91505-1334

Mailing address

4314 W Victory Blvd
Burbank, CA 91505-1334
Phone (818) 843-6611

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the 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, 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": "1128211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1952398265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-843-6611",
            "fax_number": "818-843-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-843-6611",
            "fax_number": "818-843-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & K PODIATRIC MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-02",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "KELEKIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "323-270-0295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4536",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "E4536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.