MODERN FOOT AND ANKLE PC
NPI 1063269454
Podiatrist - Foot & Ankle Surgery in Santa Clarita, CA
About Modern Foot And Ankle Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODERN FOOT AND ANKLE PC (NPI 1063269454) is a healthcare organization registered as a foot & ankle surgery in Santa Clarita, California and active in the NPI registry since May 2024. The organization lists Aleksander V Lavrenov, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Modern Foot And Ankle Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Modern Foot And Ankle PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Modern Foot And Ankle PC's NPI number?
The NPI number for Modern Foot And Ankle PC is 1063269454. It was assigned to this organization in the NPPES registry on May 2, 2024.
Where is Modern Foot And Ankle PC located?
Modern Foot And Ankle PC is located at 26235 Ravenhill Rd, Santa Clarita, CA 91387. The listed phone number is (917) 687-7528.
What is Modern 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 Modern Foot And Ankle PC enrolled in Medicare?
Yes. Modern Foot And Ankle PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modern Foot And Ankle PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Modern 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 Modern Foot And Ankle PC was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Modern Foot And Ankle Pc · NPI 1063269454
Foot & Ankle Surgery organization in Santa Clarita, California. Organization record, active in the CMS NPPES registry since May 2, 2024.
## Identity
- **NPI:** 1063269454 (Entity type: Organization)
- **Enumerated:** May 2, 2024
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Aleksander Lavrenov, CEO
## Practice location
- **Address:** 26235 RAVENHILL RD, Santa Clarita, CA 91387-4046
- **Phone:** (917) 687-7528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Podiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063269454) · Data from the CMS NPPES public registry.