UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER (NPI# 1164887048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164887048 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER |
| Practice Address |
5230 Pacific Concourse Drive Suite 100 Los Angeles CA 90045 |
| Mailing Address |
2121 Wilshire Blvd Suite 101 Santa Monica CA 90403 |
| Practice Telephone | 3108280011 |
| Practice Fax Number | 3108282001 |
| Mailing Telephone | 3108280011 |
| Mailing Fax Number | 3108282001 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | DR. GARY BRISKIN (PARTNER) |
| Authorized Official Telephone | 3108280011 |
| 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 |
E3141 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427557669 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 16311 Ventura Blvd Ste 1080, Encino, CA 91436-4352 | 2018-02-02 |
| 1508363375 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 32144 Agoura Rd, Westlake Village, CA 91361-4031 | 2018-04-09 |
| 1750893707 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 1245 Wilshire Blvd Ste 810, Los Angeles, CA 90017-4808 | 2017-10-31 |
| 1952856270 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5901 W Olympic Blvd, Suite 509, Los Angeles, CA 90036-4667 | 2016-08-16 |
| Street Address |
5230 PACIFIC CONCOURSE DRIVE SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1467960690 | Jonathan Tavakoli | Podiatrist | 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 | 2018-01-22 |
| 1356899231 | Tehrani Foot and Ankle, Inc. | Podiatrist | 2514 S Central Ave, Los Angeles, CA 90011-1635 | 2016-09-20 |
| 1316301807 | Lucas Hultman | Podiatrist | 100 Ucla Medical Plaza Suite 460, Los Angeles, CA 90095 | 2016-04-11 |
| 1447670955 | New Hope Podiatry Group Inc. | Podiatrist | 3612 1/2 E. First Street, Los Angeles, CA 90063-2326 | 2014-04-23 |
| 1275974487 | Anthony Cannizzaro | Podiatrist | 3158 Federal Ave, Los Angeles, CA 90066-1225 | 2013-07-16 |
| 1235576968 | Jim Kasha | Podiatrist | 3016 Waverly Dr, Suite 308, Los Angeles, CA 90039-2052 | 2013-06-04 |
| 1285993451 | Benjamin Tehrani | Podiatrist | 2514 S. Central Avenue, Los Angeles, CA 90011 | 2012-05-09 |
| 1568752582 | David J Liss | Podiatrist | 9100 S Sepulveda Blvd Ste 100, Los Angeles, CA 90045-4849 | 2011-04-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER.
| 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.