FAR WEST PODIATRY
NPI 1124175740
Podiatrist - Foot Surgery in Hawthorne, CA

Active since January 04, 2007
13624 HAWTHORNE BLVD STE 206, HAWTHORNE, CA 90250(310) 675-0900(310) 675-0904 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2022, Jul 5, 2022, Jun 9, 2022 and 2 more (5 updates tracked since 2022).

About Far West Podiatry NPPES

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

FAR WEST PODIATRY (NPI 1124175740) is a healthcare organization registered as a foot surgery in Hawthorne, California and active in the NPI registry since January 2007. The organization lists Karen L Wrubel, President, as its authorized official.

NPPES Registry Identity

NPI1124175740
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameFAR WEST PODIATRIC MEDICAL GROUP
Location Address13624 HAWTHORNE BLVD STE 206Hawthorne, CA 90250-5818
Mailing Address13624 Hawthorne Blvd, Suite 206Hawthorne, CA 90250-5818 · (310) 675-0900 · Fax (310) 675-0904
Fax(310) 675-0904
Organization SubpartNo
Authorized OfficialKaren L WrubelPresident · (310) 675-0900
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 13, 20225 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1124175740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in CA · E3328
13624 HAWTHORNE BLVD STE 206, Hawthorne, CA 90250

Other Names 1

Doing Business AsFar West Podiatry

Other Identifiers 1

MedicaidGRE001780CA

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)

Far West Podiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Far West Podiatry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Podiatry
NPI 1346299716
13624 HAWTHORNE BLVD SUITE 206
Hawthorne, CA 90250
(310) 675-0900
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1982654307
13624 HAWTHORNE BLVD SUITE 206
Hawthorne, CA 90250
(310) 675-0900
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1134293962
1970 S PROSPECT AVE SUITE 4
Redondo Beach, CA 90277
(310) 316-7020
✔ PECOS6.5 mi
Podiatry
NPI 1699298539
9233 W PICO BLVD STE 201
Los Angeles, CA 90035
(424) 279-9332
✔ PECOS✔ Accepts Medicare10 mi
Podiatry
NPI 1366839466
2500 ALHAMBRA AVE
Martinez, CA 94553
(325) 370-5000
✔ PECOS✔ Accepts Medicare353 mi
Radiation Oncology
NPI 1265935027
9618 HUEBNER RD STE 120
San Antonio, TX 78240
(650) 940-7280
✔ PECOS1,200 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 Far West Podiatric Medical Group's NPI number?

The NPI number for Far West Podiatric Medical Group is 1124175740. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Far West Podiatry.

Where is Far West Podiatric Medical Group located?

Far West Podiatric Medical Group is located at 13624 Hawthorne Blvd Ste 206, Hawthorne, CA 90250. The listed phone number is (310) 675-0900.

What is Far West Podiatric Medical Group's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Far West Podiatric Medical Group enrolled in Medicare?

Yes. Far West Podiatric Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Far West Podiatric Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Far West Podiatric Medical Group. 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. The largest specialties are Podiatry (5) and Radiation Oncology (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Far West Podiatric Medical Group was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.