Individual provider Active NPI

Aleksander Valentinovich Lavrenov, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
National Provider Identifier
1992937379
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E 5019 Issued in CA
Practice address
20548 Ventura Blvd
Suite 217
Woodland Hills, CA 91364-6225
Phone
(917) 687-7528
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006226 NY
Foot & Ankle Surgery Podiatrist 213ES0103X E 5019 CA Primary

Addresses

Primary practice location

20548 Ventura Blvd
Suite 217
Woodland Hills, CA 91364-6225

Mailing address

20548 Ventura Blvd
Suite 217
Woodland Hills, CA 91364-6225
Phone (917) 687-7528

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
I20130604000595 CA Practitioner - Podiatry 0941356497 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Foot and Ankle Institute PCGroup PAC ID 3870015290, 2 clinicians
Modern Foot and Ankle PCGroup PAC ID 9830622448, 2 clinicians
Pacific Foot and Ankle Institute PCGroup PAC ID 1850834029, 3 clinicians

Practice addresses (Care Compare)

10653 Riverside Dr
North Hollywood, CA 91602-2341
Phone (917) 687-7528

1073 Ross Ave
Suite D
El Centro, CA 92243-4371
Phone (917) 687-7528

1201 S Victory Blvd
Suite 100
Burbank, CA 91502-2789
Phone (917) 687-7528

12805 Victory Blvd
North Hollywood, CA 91606-3012
Phone (917) 687-7528

13755 Victory Blvd
Van Nuys, CA 91401-2348
Phone (917) 687-7528

16935 Vanowen St
Suite D
Van Nuys, CA 91406-4565
Phone (917) 687-7528

Hospital & facility affiliations

  • Millennium Health Corp Home health agency, Van Nuys, CA, CCN 559226

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions155
Removal of nail tissue5515
Removal or shaving of skin growth5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Foot and Ankle PC Foot & Ankle Surgery CurrentSince Oct 27, 2025 Accepting new patients
West Coast Foot and Ankle Institute PC Foot & Ankle Surgery CurrentSince Sep 22, 2014 Accepting new patients
Pacific Foot and Ankle Institute PC Foot & Ankle Surgery CurrentSince Apr 24, 2024 Accepting new patients
SF Valley Foot and Ankle PC Foot & Ankle Surgery CurrentSince Mar 15, 2025 Accepting new patients
Millennium Foot and Ankle Institute PC Foot & Ankle Surgery CurrentSince May 29, 2023 Accepting new patients
Prime Foot and Ankle Institute PC Foot & Ankle Surgery CurrentSince Mar 6, 2025 Accepting new patients
La Foot and Ankle Institute PC Foot & Ankle Surgery CurrentSince Apr 23, 2024 Accepting new patients
Progressive Foot and Ankle Institute PC Foot & Ankle Surgery CurrentSince Sep 25, 2013 Accepting new patients
Modern Foot and Ankle PC Foot & Ankle Surgery CurrentSince Sep 16, 2024 Accepting new patients
Desert Foot and Ankle PC Foot & Ankle Surgery CurrentSince Oct 27, 2025 Accepting new patients
Glendale Foot and Ankle PC Foot & Ankle Surgery CurrentSince Mar 15, 2025 Accepting new patients

Locations

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

1201 S Victory Blvd
Ste 100
Burbank, CA 91502
Phone (747) 241-8941

1411 W Olive Ave
Ste D
Burbank, CA 91506
Phone (818) 821-3535

1073 Ross Ave
Ste D
El Centro, CA 92243
Phone (760) 340-1003

1110 S Glendale Ave
Ste E
Glendale, CA 91205
Phone (818) 945-5502

3214 Honolulu Ave
La Crescenta, CA 91214
Phone (747) 229-2251

3030 W Temple St
Ste 106
Los Angeles, CA 90026
Phone (213) 387-9251

12805 Victory Blvd
North Hollywood, CA 91606
Phone (213) 293-2323

10653 Riverside Dr
Toluca Lake, CA 91602
Phone (213) 787-7644

6817 Kester Ave
Van Nuys, CA 91405
Phone (747) 755-2455

13755 Victory Blvd
Van Nuys, CA 91401
Phone (818) 262-4401

16935 Vanowen St
Ste D
Van Nuys, CA 91406
Phone (818) 337-7777

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 and National Provider Directory roles.

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1992937379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20548 VENTURA BLVD",
            "address_2": "SUITE 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646225",
            "telephone_number": "917-687-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20548 VENTURA BLVD",
            "address_2": "SUITE 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646225",
            "telephone_number": "917-687-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVRENOV",
        "first_name": "ALEKSANDER",
        "middle_name": "VALENTINOVICH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006226",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 5019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.