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FOOT AND ANKLE WELLNESS CLINIC
NPI 1235313123
Podiatrist - Foot Surgery in Los Angeles, CA

Active since December 27, 2007
6310 SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048(323) 937-6903(323) 210-7171 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Foot And Ankle Wellness Clinic NPPES

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

FOOT AND ANKLE WELLNESS CLINIC (NPI 1235313123) is a healthcare organization registered as a foot surgery in Los Angeles, California and active in the NPI registry since December 2007. The organization lists Suzanne Lee Mancherian, President, as its authorized official.

NPPES Registry Identity

NPI1235313123
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameFOOT AND ANKLE WELLNESS CLINIC
Location Address6310 SAN VICENTE BLVD STE 220Los Angeles, CA 90048-5458
Mailing Address6310 San Vicente Blvd Ste 220Los Angeles, CA 90048-5458 · (323) 937-6903 · Fax (323) 210-7171
Phone(323) 937-6903
Fax(323) 210-7171
Organization SubpartNo
Authorized OfficialSuzanne Lee MancherianPresident · (323) 937-6903
Enumeration DateDecember 27, 2007
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1235313123 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 · E4429
6310 SAN VICENTE BLVD STE 220, Los Angeles, CA 90048
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Other Identifiers 1

Medicaid000E28430CA

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Foot And Ankle Wellness Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Suzanne Mancherian, DPM
Podiatry
NPI 1427129741
6200 WILSHIRE BLVD STE 1712
Los Angeles, CA 90048
(323) 937-6903
✔ PECOS0.3 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 Foot And Ankle Wellness Clinic's NPI number?

The NPI number for Foot And Ankle Wellness Clinic is 1235313123. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Foot And Ankle Wellness Clinic located?

Foot And Ankle Wellness Clinic is located at 6310 San Vicente Blvd Ste 220, Los Angeles, CA 90048. The listed phone number is (323) 937-6903.

What is Foot And Ankle Wellness Clinic's specialty?

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

Is Foot And Ankle Wellness Clinic enrolled in Medicare?

Yes. Foot And Ankle Wellness Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot And Ankle Wellness Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot And Ankle Wellness Clinic. 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 Foot And Ankle Wellness Clinic was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.