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

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Podiatrist
Foot & Ankle Surgery

About GLENDALE FOOT AND ANKLE PC

This page provides the complete NPI Profile along with additional information for Glendale Foot And Ankle Pc, a provider established in Santa Clarita, California operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1013717669 assigned on March 2025. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Aleksander Lavrenov Dpm (Ceo)

NPI: 1013717669 Verify this NPI
Provider Name: GLENDALE FOOT AND ANKLE PC
Entity Type: Organization
Location Address: 26235 RAVENHILL RD SANTA CLARITA, CA 91387
Location Phone: (917) 687-7528
Mailing Address: 26235 RAVENHILL RD SANTA CLARITA, CA 91387
Mailing Phone: (917) 687-7528
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-13-2025
Last Update Date: 03-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Podiatrist Foot & Ankle Surgery
Taxonomy Code: 213ES0103X
Type: Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. ALEKSANDER LAVRENOV DPM
Authorized Official Title: CEO
Authorized Official Phone: (917) 687-7528