GLENOAKS PODIATRY GROUP INC
NPI 1073660353
Podiatrist in Glendale, CA

Active since January 05, 2007
844 WEST GLENOAKS BLVD, GLENDALE, CA 91202(818) 500-1888(818) 500-0695 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glenoaks Podiatry Group Inc NPPES

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

GLENOAKS PODIATRY GROUP INC (NPI 1073660353) is a healthcare organization registered as a podiatrist in Glendale, California and active in the NPI registry since January 2007. The organization lists Gulbenk Shirvanian, President, as its authorized official.

NPPES Registry Identity

NPI1073660353
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGLENOAKS PODIATRY GROUP INC
Location Address844 WEST GLENOAKS BLVDGlendale, CA 91202-2134
Mailing Address844 West Glenoaks BlvdGlendale, CA 91202-2134 · (818) 500-1888 · Fax (818) 500-0695
Fax(818) 500-0695
Organization SubpartNo
Authorized OfficialGulbenk ShirvanianPresident · (818) 500-1888
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1073660353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in CA · E2979✔ Licensed in CA · E2857
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
844 WEST GLENOAKS BLVD, Glendale, CA 91202

Other Identifiers 3

MedicaidGRE00160CA
Medicare UPINT11539
Medicare ID-Type UnspecifiedWE1613CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenoaks Podiatry Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120314000820Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glenoaks Podiatry Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1912091893
25 N SANTA ANITA AVE STE J
Arcadia, CA 91006
(626) 574-7400
✔ PECOS✔ Accepts Medicare14 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 Glenoaks Podiatry Group Inc's NPI number?

The NPI number for Glenoaks Podiatry Group Inc is 1073660353. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Glenoaks Podiatry Group Inc located?

Glenoaks Podiatry Group Inc is located at 844 West Glenoaks Blvd, Glendale, CA 91202. The listed phone number is (818) 500-1888.

What is Glenoaks Podiatry Group Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Glenoaks Podiatry Group Inc enrolled in Medicare?

Yes. Glenoaks Podiatry Group Inc is registered in the Medicare PECOS enrollment system.

When is Glenoaks Podiatry Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Glenoaks Podiatry Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Glenoaks Podiatry Group Inc. 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 Glenoaks Podiatry Group Inc was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.