Organization Active NPI

Calabasas Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
National Provider Identifier
1992443436
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CALABASAS PODIATRY GROUP
Practice address
23164 Ventura Blvd Ste D
Woodland Hills, CA 91364-1101
Phone
(818) 914-5686
Fax
(818) 914-4573
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Mr. Alireza Khosroabadi, DPMNPI 1841490620
Title
Director
Phone
(818) 914-5686

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

23164 Ventura Blvd Ste D
Woodland Hills, CA 91364-1101

Mailing address

23164 Ventura Blvd Ste D
Woodland Hills, CA 91364-1101
Phone (818) 914-5686

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Info@fixmyfoot.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621002438 CA Part B Supplier - Clinic/Group Practice 7719345867 Receives reassigned benefits from 3 practitioners
Practice locations: Tarzana, CA; Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

18366 Clark St
Tarzana, CA 91356

23164 Ventura Blvd
#D
Woodland Hills, CA 91364

23164 Ventura Blvd
Ste D
Woodland Hls, CA 91364
Phone (818) 914-5686

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1992443436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23164 VENTURA BLVD STE D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641101",
            "telephone_number": "818-914-5686",
            "fax_number": "818-914-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23164 VENTURA BLVD STE D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641101",
            "telephone_number": "818-914-5686",
            "fax_number": "818-914-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABASAS PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "KHOSROABADI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-914-5686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@fixmyfoot.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "23164 Ventura Blvd Ste D",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913641101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.