PREMIUM PODIATRY, INC.
NPI 1467550897
Podiatrist in Encino, CA

Active since September 20, 2006
5400 BALBOA BLVD STE 325, ENCINO, CA 91316(818) 782-0559(818) 782-8308 Get Directions Write a Review

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

Record update history: Apr 13, 2026, Feb 26, 2025, Jan 7, 2023 and 1 more (4 updates tracked since 2021).

About Premium Podiatry, Inc. NPPES

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

PREMIUM PODIATRY, INC. (NPI 1467550897) is a healthcare organization registered as a podiatrist in Encino, California and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Huntington Park and lists Sara Arredondo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467550897
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePREMIUM PODIATRY, INC.
Location Address5400 BALBOA BLVD STE 325Encino, CA 91316-5226
Mailing Address5400 Balboa Blvd Ste 325Encino, CA 91316-5226 · (818) 782-0559 · Fax (818) 782-8308
Fax(818) 782-8308
Organization SubpartNo
Authorized OfficialSara ArredondoOffice Manager · (818) 782-0559
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1467550897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E1306
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.
5400 BALBOA BLVD STE 325, Encino, CA 91316

Secondary Practice Location 1

Location 16601 Rugby Ave Ste 100Huntington Park, CA 90255-4040 · Phone (323) 749-9770 · Fax (323) 749-9771

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

Accepted Insurance

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)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20090226000497Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Premium Podiatry, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Podiatry
NPI 1710623061
5400 BALBOA BLVD STE 325
Encino, CA 91316
(818) 782-0559
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1972091734
5400 BALBOA BLVD STE 325
Encino, CA 91316
(818) 782-0559
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1366449985
5400 BALBOA BLVD STE 325
Encino, CA 91316
(818) 907-6100
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1912902768
18411 CLARK ST STE 104
Tarzana, CA 91356
(818) 345-6500
✔ PECOS✔ Accepts Medicare1.9 mi
Podiatry
NPI 1205981859
656 E REGENT ST
Inglewood, CA 90301
(310) 672-5893
✔ PECOS✔ Accepts Medicare17 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 Premium Podiatry, Inc.'s NPI number?

The NPI number for Premium Podiatry, Inc. is 1467550897. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Premium Podiatry, Inc. located?

Premium Podiatry, Inc. is located at 5400 Balboa Blvd Ste 325, Encino, CA 91316. The listed phone number is (818) 782-0559.

What is Premium Podiatry, Inc.'s specialty?

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

Is Premium Podiatry, Inc. enrolled in Medicare?

Yes. Premium Podiatry, Inc. is registered in the Medicare PECOS enrollment system.

When is Premium Podiatry, 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 February 28, 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 Premium Podiatry, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Premium Podiatry, 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premium Podiatry, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 12 other insurers list Premium Podiatry, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premium Podiatry, Inc. was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.