Active NPI
Karina Gavrelovna Tavakalyan, DPM
- Foot & Ankle Surgery Podiatrist
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5706
- Practice address
- 5400 Balboa Blvd Ste 325
Encino, CA 91316-5226 - Phone
- (818) 782-0559
- NPI assigned
- Apr 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5706 | CA | Primary |
Addresses
Primary practice location
5400 Balboa Blvd Ste 325
Encino, CA 91316-5226
Mailing address
18701 Sherman Way Ste 2
Reseda, CA 91335-4049
Phone (818) 782-0559
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
- William M. Scholl College of Podiatric Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
445 W Dryden St
Apt 15
Glendale, CA 91202-2341
Phone (616) 482-7890
501 W Glenoaks Blvd 10 PMB
Suite 212
Glendale, CA 91202-2341
6601 Rugby Ave
Suite 100
Huntington Park, CA 90255-4040
Phone (323) 749-9770
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277
Hospital & facility affiliations
- Cedars-Sinai Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 45 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1132 |
| Removal or shaving of skin growth | 131 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5706 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Podiatry, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Vladimir Zeetser, DPM, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Tavakalyan Podiatry PC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
5400 Balboa Blvd
Ste 325
Encino, CA 91316
Phone (818) 782-0559
501 W Glenoaks Blvd
Ste 10
Glendale, CA 91202
Phone (616) 482-7890
6601 Rugby Ave
Ste 100
Huntington Park, CA 90255
Phone (323) 749-9770
18701 Sherman Way
Ste 2
Reseda, CA 91335
Phone (818) 782-0559
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Glendale, CA
- NPI 1316725088
-
- Foot & Ankle Surgery Podiatrist
- Encino, CA
- NPI 1518972967
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1972091734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18701 SHERMAN WAY STE 2",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354049",
"telephone_number": "818-782-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD STE 325",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165226",
"telephone_number": "818-782-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVAKALYAN",
"first_name": "KARINA",
"middle_name": "GAVRELOVNA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.