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UNIVERSITY FOOT AND ANKLE INSTITUTE A PPODIATRIC SURGICAL CENTER NPI 1750722088


NPI Information

NPI: 1750722088
Provider Name: UNIVERSITY FOOT AND ANKLE INSTITUTE A PPODIATRIC SURGICAL CENTER
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 05D2241940

Address:
430 E AVENIDA DE LOS ARBOLES
SUITE 101
THOUSAND OAKS, CA
ZIP 91360
Phone: (310) 828-0011
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UNIVERSITY FOOT AND ANKLE INSTITUTE A PPODIATRIC SURGICAL CENTER is a podiatrist in Thousand Oaks, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. UNIVERSITY FOOT AND ANKLE INSTITUTE A PPODIATRIC SURGICAL CENTER NPI is 1750722088. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

430 E AVENIDA DE LOS ARBOLES
SUITE 101
THOUSAND OAKS, CA
ZIP 91360-003
Phone: (310) 828-0011

The provider's authorized official is Babak Baravarian .
The authorized official title is Partner and has the following contact phone number (310) 828-0011.

The CLIA number assigned to this NPI record is 05D2241940 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 7/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE3692CALIFORNIANo
2213ES0131XPodiatristFoot SurgeryE3692CALIFORNIANo
3213E00000XPodiatristE3692CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16343OTHERCALIFORNIAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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