PRIME FOOT AND ANKLE INSTITUTE PC
NPI 1366240772
Podiatrist - Foot & Ankle Surgery in Santa Clarita, CA

Active since March 04, 2025
26235 RAVENHILL RD, SANTA CLARITA, CA 91387(917) 687-7528(818) 241-3319 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Foot And Ankle Institute Pc NPPES

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

PRIME FOOT AND ANKLE INSTITUTE PC (NPI 1366240772) is a healthcare organization registered as a foot & ankle surgery in Santa Clarita, California and active in the NPI registry since March 2025. The organization lists Aleksander Lavrenov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366240772
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRIME FOOT AND ANKLE INSTITUTE PC
Location Address26235 RAVENHILL RDSanta Clarita, CA 91387-4046
Mailing Address26235 Ravenhill RdSanta Clarita, CA 91387-4046 · (917) 687-7528 · Fax (818) 241-3319
Fax(818) 241-3319
Organization SubpartNo
Authorized OfficialAleksander LavrenovCeo · (917) 687-7528
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1366240772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
26235 RAVENHILL RD, Santa Clarita, CA 91387

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Foot And Ankle Institute Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prime Foot And Ankle Institute PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1992937379
20548 VENTURA BLVD SUITE 217
Woodland Hills, CA 91364
(917) 687-7528
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1881794105
423 E 23RD ST
New York, NY 10010
(212) 686-7500
✔ PECOS✔ Accepts Medicare2,452 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 Prime Foot And Ankle Institute PC's NPI number?

The NPI number for Prime Foot And Ankle Institute PC is 1366240772. It was assigned to this organization in the NPPES registry on March 4, 2025.

Where is Prime Foot And Ankle Institute PC located?

Prime Foot And Ankle Institute PC is located at 26235 Ravenhill Rd, Santa Clarita, CA 91387. The listed phone number is (917) 687-7528.

What is Prime Foot And Ankle Institute PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Prime Foot And Ankle Institute PC enrolled in Medicare?

Yes. Prime Foot And Ankle Institute PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Foot And Ankle Institute PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prime Foot And Ankle Institute 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 Prime Foot And Ankle Institute PC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.