INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY (NPI# 1083074579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083074579 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY |
| Practice Address |
289 W Huntington Dr Arcadia CA 91007-3495 |
| Mailing Address |
11273 Laurel Canyon Blvd Ste 4 San Fernando CA 91340-4359 |
| Practice Telephone | 8184082800 |
| Practice Fax Number | 8184082452 |
| Mailing Telephone | 8184082800 |
| Mailing Fax Number | 8184082452 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | DR. ALIREZA KHOSROABADI (CEO) |
| Authorized Official Telephone | 8184082800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4728 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1841490620 | 01 |
| CA | LICENSE | E4728 | 01 |
| Street Address |
289 W HUNTINGTON DR |
| City | ARCADIA |
| State | CA |
| Zip Code | 91007-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363467 | Anya J Rose | Obstetrics & Gynecology | 289 W Huntington Dr, Suite 305, Arcadia, CA 91007-3495 | 2006-04-03 |
| 1336672435 | Ying Annie Lin | Pharmacist | 289 W Huntington Dr, #101, Arcadia, CA 91007-3495 | 2017-04-05 |
| 1932583648 | Joe Yb Lee Md Inc | Orthopaedic Surgery | 289 W Huntington Dr, 103, Arcadia, CA 91007-3495 | 2015-07-13 |
| 1619387941 | Rose Women's Health | Obstetrics & Gynecology | 289 W Huntington Dr, Suite 305, Arcadia, CA 91007-3495 | 2014-05-08 |
| 1497705099 | Enrique Sergio Blesa | Internal Medicine | 289 W Huntington Dr, Suite 401, Arcadia, CA 91007-3495 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174504 | Ying Zhang | Nurse Practitioner | 301 Huntington Dr., Suite 607, Arcadia, CA 91007 | 2018-11-26 |
| 1891287819 | Sunflower Tcm Health Center | Acupuncturist | 650 Weat Duarte Road, # 168, Arcadia, CA 91007 | 2018-06-05 |
| 1326537911 | Natural Health Care Inc | Clinic/Center | 1434 S Baldwin Ave, Arcadia, CA 91007 | 2018-05-09 |
| 1720590458 | Shokoofeh Namiranian | Pharmacist | 745 E. Naomi Ave, Arcadia, CA 91007 | 2017-11-03 |
| 1164897351 | The One Dental Specialty Center Inc | Dentist | 1245 W. Huntington Drive, #207, Arcadia, CA 91007 | 2015-12-14 |
| 1366815771 | Jackie Liang Zhang Sr. | Acupuncturist | 650 West Duarte Road, # 168, Arcadia, CA 91007 | 2015-11-06 |
| 1811379365 | Michael Bastani | Podiatrist | 289 W Huntington Dr Ste 204, Arcadia, CA 91007 | 2015-06-22 |
| 1740661776 | Albert Tsuyuan Wang | Emergency Medicine | 531 Magellan Rd, Arcadia, CA 91007 | 2015-06-16 |
| 1740678176 | Karina Herrera | Behavioral Analyst | 444 W. Huntington Dr., #211, Arcadia, CA 91007 | 2015-01-08 |
| 1356751614 | H-light Global Inc | Acupuncturist | 1245 W Huntington Dr #212, Arcadia, CA 91007 | 2014-05-07 |
| Find all providers in zip 91007 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811379365 | Michael Bastani | Podiatrist | 289 W Huntington Dr Ste 204, Arcadia, CA 91007 | 2015-06-22 |
| 1780627190 | Charles John Hastings | Podiatrist | 301 W Huntington Dr Ste 300, Arcadia, CA 91007-1527 | 2006-06-14 |
| 1598146664 | Mcr Health, Inc. | Podiatrist | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2015-06-15 |
| 1770998478 | Jordan Panicco | Podiatrist | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2014-06-23 |
| 1174753032 | Lily Y Lin | Podiatrist | 450 E Huntington Dr, Arcadia, CA 91006-3748 | 2009-07-24 |
| 1649433129 | Wenjay Sung | Podiatrist | 301 W Huntington Dr, Suite 300, Arcadia, CA 91007-3462 | 2008-07-06 |
| 1043331820 | Chugo E. Rinoie Dpm Corp. | Podiatrist | 301 W Huntington Dr Ste 300, Arcadia, CA 91007-1527 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.