MIDWAY PODIATRY CLINIC INC NPI 1821113481

NPI Information

  • NPI: 1821113481
  • Provider Name: MIDWAY PODIATRY CLINIC INC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 7217 CANBY AVE
    RESEDA, CA
    ZIP 91335
  • Phone: (818) 995-4040

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NPI Details

MIDWAY PODIATRY CLINIC INC is a foot and ankle surgery podiatrist in Reseda, CA. MIDWAY PODIATRY CLINIC INC NPI is 1821113481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7217 CANBY AVE
RESEDA, CA
ZIP 91335-003
Phone: (818) 995-4040
Fax: (818) 996-3219

The provider's authorized official is Paris Servatjoo .
The authorized official title is Doctor Owner and has the following contact phone number (818) 995-4040.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 12/18/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE3494CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WE11635MEDICARE PINCALIFORNIA
2T11704MEDICARE UPINCALIFORNIA

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: 11/21/2025

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