HOLLYWOOD FOOT AND ANKLE CENTER INC
NPI 1407669542
Podiatrist - Foot & Ankle Surgery in N Hollywood, CA

Active since January 31, 2025
11631 VICTORY BLVD STE 104, N HOLLYWOOD, CA 91606(909) 946-6643 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hollywood Foot And Ankle Center Inc NPPES

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

HOLLYWOOD FOOT AND ANKLE CENTER INC (NPI 1407669542) is a healthcare organization registered as a foot & ankle surgery in N Hollywood, California and active in the NPI registry since January 2025. The organization lists Farid Didari, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407669542
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameHOLLYWOOD FOOT AND ANKLE CENTER INC
Location Address11631 VICTORY BLVD STE 104N Hollywood, CA 91606-3572
Mailing Address11631 Victory Blvd Ste 104N Hollywood, CA 91606-3572 · (909) 946-6643
Organization SubpartNo
Authorized OfficialFarid DidariCfo · (909) 464-8600
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1407669542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatristTaxonomy 213E00000X
11631 VICTORY BLVD STE 104, N Hollywood, CA 91606

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)

Hollywood Foot And Ankle Center Inc 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 Hollywood Foot And Ankle Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Podiatry
NPI 1790218550
1122 N COLUMBUS AVE APT. 2
Glendale, CA 91202
(818) 606-6740
✔ PECOS✔ Accepts Medicare7.3 mi
Podiatry
NPI 1154361871
1141 W REDONDO BEACH BLVD STE 206
Gardena, CA 90247
(310) 515-8155
✔ PECOS✔ Accepts Medicare21 mi
Podiatry
NPI 1669001137
3655 LOMITA BLVD STE 120
Torrance, CA 90505
(310) 791-1092
✔ PECOS✔ Accepts Medicare26 mi
Podiatry
NPI 1659948321
5365 WALNUT AVE STE P
Chino, CA 91710
(909) 946-6643
✔ PECOS✔ Accepts Medicare41 mi
Podiatry
NPI 1477944114
5451 WALNUT AVE
Chino, CA 91710
(909) 464-8600
✔ PECOS✔ Accepts Medicare42 mi
Podiatry
NPI 1073142394
11201 BENTON ST
Loma Linda, CA 92357
(909) 825-7084
✔ PECOS✔ Accepts Medicare66 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 Hollywood Foot And Ankle Center Inc's NPI number?

The NPI number for Hollywood Foot And Ankle Center Inc is 1407669542. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is Hollywood Foot And Ankle Center Inc located?

Hollywood Foot And Ankle Center Inc is located at 11631 Victory Blvd Ste 104, N Hollywood, CA 91606. The listed phone number is (909) 946-6643.

What is Hollywood Foot And Ankle Center Inc's specialty?

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

Is Hollywood Foot And Ankle Center Inc enrolled in Medicare?

Yes. Hollywood Foot And Ankle Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hollywood Foot And Ankle Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Podiatry, reassign their Medicare billing to Hollywood Foot And Ankle Center 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. Of these, 1 practice 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 Hollywood Foot And Ankle Center Inc was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.