MANSOUR NEJADRASOOL (NPI# 1477565828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477565828 |
| Entity Type | Individual |
| Full Name | MANSOUR NEJADRASOOL |
| Credential | DPM |
| Practice Address |
14600 Sherman Way Ste 230 Van Nuys CA 91405 |
| Mailing Address |
14600 Sherman Way Ste 230 Van Nuys CA 91405-2291 |
| Practice Telephone | 8187848420 |
| Practice Fax Number | 8187850028 |
| Mailing Telephone | 8187848420 |
| Mailing Fax Number | 8187850028 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E4452 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E4452 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NORIDIAN SECOND PTAN FOR VAN NUYS CLINIC | 6445430003 | 01 |
| Street Address |
14600 SHERMAN WAY STE 230 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689066581 | Valley Foot Clinic Professional Corporation | Podiatrist | 14600 Sherman Way Ste 230, Van Nuys, CA 91405-2291 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225006950 | Michael Blake Runyon | Podiatrist | 13701 Burbank Blvd, Van Nuys, CA 91401-5040 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801411988 | David W. Hellewell, D.p.m. Inc | Podiatrist | 17822 Beach Blvd Ste 407, Huntington Beach, CA 92647-7511 | 2020-06-15 |
| 1265053672 | Elite Atlantic Foot & Ankle Clinic | Podiatrist | 925 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-1063 | 2020-04-27 |
| 1467099085 | Berkeley Foot and Ankle Podiatry Group, Inc | Podiatrist | 106 La Casa Via Ste 270, Walnut Creek, CA 94598-3015 | 2019-12-02 |
| 1164902565 | Optimum Podiatry Services Inc | Podiatrist | 365 Hawthorne Ave Ste 202, Oakland, CA 94609-3114 | 2018-08-16 |
| 1427536697 | Rodeo Surgical Institute Inc. | Podiatrist | 421 N Rodeo Dr Ste T13, Beverly Hills, CA 90210-4500 | 2018-07-31 |
| 1902340201 | San Mateo Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr Ste 212, San Mateo, CA 94401-3843 | 2016-12-06 |
| 1285018986 | Platinum Health Center | Podiatrist | 1125 E 17th St Ste E101, Santa Ana, CA 92701 | 2015-07-13 |
| 1114211786 | Ross Eldon Biederman | Podiatrist | 140 Wyoming Street, June Lake, CA 93529 | 2011-06-01 |
| 1487885414 | Eugene Marvin Krank Jr. | Podiatrist | 4358 W 136th St, #d, Hawthorne, CA 90250-7127 | 2009-08-08 |
| 1861629248 | Tanya Panichpakdee | Podiatrist | 357 Calle Marseille, Long Beach, CA 90814-3219 | 2009-06-12 |
| 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.