Individual provider Active NPI

Syamak Yamini, DPM

  • Foot & Ankle Surgery Podiatrist
  • Porter Ranch, CA
National Provider Identifier
1992992366
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4835 Issued in CA
Practice address
11145 Tampa Ave Ste 10B
Porter Ranch, CA 91326
Phone
(818) 336-1356
Fax
(310) 400-5666
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4835 CA Primary

Addresses

Primary practice location

11145 Tampa Ave Ste 10B
Porter Ranch, CA 91326

Mailing address

18700 Edleen Dr
Tarzana, CA 91356-4809
Phone (818) 837-5637

Other practice location 1

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (818) 336-1356

Other practice location 2

16550 Ventura Blvd Ste 406
Encino, CA 91436
Phone (818) 336-1356

Other identifiers 1

IdentifierTypeStateIssuer
1992992366MedicaidCA

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
I20100928001166 CA Practitioner - Podiatry 2466578315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1700 Westwood Blvd
Los Angeles, CA 90024-5608
Phone (818) 336-1356

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue41
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4835CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Syamak Yamini DPM, Professional Corporation Foot & Ankle Surgery CurrentSince Mar 11, 2025 Accepting new patients
Syamak Yamini DPM, Professional Corporation Foot & Ankle Surgery CurrentSince Jul 22, 2010 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

16550 Ventura Blvd
Ste 406
Encino, CA 91436
Phone (818) 336-1356

1700 Westwood Blvd
Fl 1
Los Angeles, CA 90024
Phone (310) 234-6600

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 435-1892

11145 Tampa Ave
Ste 10B
Porter Ranch, CA 91326
Phone (818) 336-1356

15107 Vanowen St
Ste 4
Van Nuys, CA 91405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: syamini350708@oc.providencedirect.org

Organizations & group practices 6

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1992992366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 EDLEEN DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564809",
            "telephone_number": "818-837-5637",
            "fax_number": "310-400-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 10B",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "91326",
            "telephone_number": "818-336-1356",
            "fax_number": "310-400-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90024",
            "country_code": "US",
            "telephone_number": "818-336-1356",
            "fax_number": "310-400-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16550 Ventura Blvd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "91436",
            "country_code": "US",
            "telephone_number": "818-336-1356",
            "fax_number": "310-040-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMINI",
        "first_name": "SYAMAK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992992366",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.