Unknown Individual – Podiatrist, NPI 1124005137
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wilshire Boulevard, Brentwood, Santa Monica, Los Angeles County, California, 90025, United States
STE 101
SANTA MONICA, CA 904035742
Phone: (310) 828-0011
Fax: (310) 828-2001
Type: Mailing
32144, Agoura Road, Westlake Village, Thousand Oaks, Ventura County, California, 91361, United States
SUITE 105
WESTLAKE VILLAGE, CA 913614031
Phone: (818) 706-1925
Fax: (818) 706-1369
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Organogenesis Inc. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | CA | 11056 | Removal of 2 to 4 thickened skin growths | 366 | 133 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | NJ | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| Physical Therapist In Private Practice | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA |
Reviews
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