MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) – Podiatrist, NPI 1679789192

MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) is a healthcare provider. based in Los angeles, California. specializing in PODIATRY. They hold the professional credentials P.A, D.P.M, P.C.C. They hold a License No. 15478 (CA). The NPI Number for MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) is 1679789192

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C)
NPI
1679789192
Phone
Not provided
Address
11420 SANTA MONICA BOULEVARD
Enumeration Date
14 May 2007
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5622911994
Graduation Year
2016 (10 years ago)
PAC ID
5395992390
Group Practice PAC ID
4880944339
Professional Enrollment ID
I20221003002893
Address ID
CA902414419DO7612XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness85
Years active:19State licenses:6Digital endpointsOther names

1,833 PODIATRY in CA

Provider Addresses for MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C)

  • 11420 SANTA MONICA BOULEVARD

    P.O BOX #252212

    LOS ANGELES, CA 900258978

    Phone:

    Type: Mailing

  • 222 N PACIFIC COAST HWY STE 1420

    EL SEGUNDO, CA 902455648

    Phone: (310) 750-4511

    Type: Location

  • Veteran Affairs New York Harbor Healthcare System, 423, East 23rd Street, Kips Bay, Manhattan Community Board 6, Manhattan, New York County, New York, 10010, United States

    NEW YORK, NY 100105011

    Phone: (212) 686-7500

    Type: Mailing

  • Centerpoint Drive, Achenbach, Middletown, Middlesex County, Connecticut, 06023, United States

    MIDDLETOWN, CT 064577568

    Phone: (888) 964-6681

    Type: Location

  • 17215 Studebaker Rd Ste 108

    Cerritos, CA 907032521

    Phone: (310) 750-4511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190719000839IPodiatryCTTBD
I20200407001955IPodiatryNYTBD
I20221003002893IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2,2851,091$0
11721Removal of fingernails or toenails, 6 or more nails2,2351,242$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes560543$0
11720Removal of fingernails or toenails, 1-5 nails524413$0
11055Removal of noncancer thickened skin growth, 1 growth5348$0
View full utilization report →

Insurance plans in this area (ZIP 90025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880944339View full group profile
NameSpecialtyState
P O D I A T R YNY
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YTX
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

How do I look up MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) by NPI?
Use NPI 1679789192 when you need to reference MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) in forms, claims, or directories.
Is MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C)'s NPI currently valid?
The extract we use shows MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) as active.
Can you summarize MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C)'s specialty in plain language?
Clinically, the directory lists MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C) with Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C)?
The page summarizes Los Angeles, California for MS. JOSANA JOSEPH (P.A, D.P.M, P.C.C); expand the address list for detail.
What if Los Angeles, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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