NEW AGE FOOT AND ANKLE PODIATRY PC (NPI# 1710306501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710306501 |
| Entity Type | Organization |
| Organization Name | NEW AGE FOOT AND ANKLE PODIATRY PC |
| Practice Address |
16935 Vanowen St Suite E Van Nuys CA 91406-4595 |
| Mailing Address |
20548 Ventura Blvd Suite 217 Woodland Hills CA 91364-6225 |
| Practice Telephone | 9176877528 |
| Mailing Telephone | 9176877528 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | DR. ALEKSANDER VALENTINOVICH LAVRENOV (PRESIDENT) |
| Authorized Official Telephone | 9176877528 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E 5019 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| Street Address |
16935 VANOWEN ST SUITE E |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881813988 | Health Care Systems | General Practice | 16935 Vanowen St, Unit H, Van Nuys, CA 91406-4595 | 2007-04-25 |
| 1003180043 | Blue Sky Hospice Inc | Hospice Care, Community Based | 16935 Vanowen St, Unit 205, Van Nuys, CA 91406-4595 | 2012-03-07 |
| 1033405584 | David W Angert | Internal Medicine | 16935 Vanowen St, Ste D, Van Nuys, CA 91406-4565 | 2011-06-23 |
| 1881859205 | Schwartzberg Diagnostic Medical Imaging Inc. | Radiology | 16935 Vanowen St, Suite H, Van Nuys, CA 91406-4595 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1912335381 | Christopher Otiko | Podiatrist | 16122 Covello St, Van Nuys, CA 91406-2910 | 2013-10-23 |
| 1790112654 | Valley Oaks Podiatry Group | Podiatrist | 16122 Covello St, Van Nuys, CA 91406-2910 | 2013-10-08 |
| 1710231626 | Pacific Diabetes Institute, Inc. | Podiatrist | 15107 Vanowen St, Amputation Prevention Center - 4 East, Van Nuys, CA 91405-4542 | 2012-10-30 |
| 1033410675 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2010-11-13 |
| 1265762090 | Nicholas J Bevilacqua D P M Inc | Podiatrist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2009-12-29 |
| 1235466798 | Lee C. Rogers, D.p.m., Inc. | Podiatrist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2009-11-04 |
| 1295967719 | Tae Hyun Kim Dpm Inc | Podiatrist | 13701 Burbank Blvd, Van Nuys, CA 91401-5040 | 2009-08-17 |
| 1316126618 | Loris Yadegarian Dpm | Podiatrist | 14600 Sherman Way, Suite 210, Van Nuys, CA 91405-2269 | 2007-11-02 |
| 1720163710 | Aziz Berjis | Podiatrist | 6850 Sepulveda Blvd, #209, Van Nuys, CA 91405-4444 | 2006-10-26 |
| Find all providers in VAN NUYS | ||||
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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.