GLENDALE FOOT AND ANKLE PC
NPI 1013717669
Podiatrist - Foot & Ankle Surgery in Santa Clarita, CA

Active since March 13, 2025
26235 RAVENHILL RD, SANTA CLARITA, CA 91387(917) 687-7528 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glendale Foot And Ankle Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE FOOT AND ANKLE PC (NPI 1013717669) is a healthcare organization registered as a foot & ankle surgery in Santa Clarita, California and active in the NPI registry since March 2025. The organization lists Aleksander Lavrenov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013717669
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGLENDALE FOOT AND ANKLE PC
Location Address26235 RAVENHILL RDSanta Clarita, CA 91387-4046
Mailing Address26235 Ravenhill RdSanta Clarita, CA 91387-4046 · (917) 687-7528
Organization SubpartNo
Authorized OfficialAleksander LavrenovCeo · (917) 687-7528
Enumeration DateMarch 13, 2025
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1013717669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
26235 RAVENHILL RD, Santa Clarita, CA 91387

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glendale Foot And Ankle Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Glendale Foot And Ankle PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1861094039
14624 SHERMAN WAY STE 401
Van Nuys, CA 91405
(818) 257-4035
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1699487090
11631 VICTORY BLVD STE 101
North Hollywood, CA 91606
(818) 764-8838
✔ PECOS✔ Accepts Medicare14 mi
Podiatry
NPI 1992937379
20548 VENTURA BLVD SUITE 217
Woodland Hills, CA 91364
(917) 687-7528
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Foot And Ankle PC's NPI number?

The NPI number for Glendale Foot And Ankle PC is 1013717669. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Glendale Foot And Ankle PC located?

Glendale Foot And Ankle PC is located at 26235 Ravenhill Rd, Santa Clarita, CA 91387. The listed phone number is (917) 687-7528.

What is Glendale Foot And Ankle PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Glendale Foot And Ankle PC enrolled in Medicare?

Yes. Glendale Foot And Ankle PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glendale Foot And Ankle PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Glendale Foot And Ankle PC, in Nurse Practitioner and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glendale Foot And Ankle PC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.