JASON KHADAVI DPM, INC.
NPI 1558879924
Clinic/Center - Podiatric in Encino, CA
About Jason Khadavi Dpm, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON KHADAVI DPM, INC. (NPI 1558879924) is a healthcare organization registered as a podiatric in Encino, California and active in the NPI registry since January 2018. The organization lists Jason Khadavi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Khadavi Dpm, Inc. 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 Jason Khadavi DPM, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jason Khadavi Dpm, Inc.'s NPI number?
The NPI number for Jason Khadavi Dpm, Inc. is 1558879924. It was assigned to this organization in the NPPES registry on January 18, 2018.
Where is Jason Khadavi Dpm, Inc. located?
Jason Khadavi Dpm, Inc. is located at 16661 Ventura Blvd Ste 820, Encino, CA 91436. The listed phone number is (424) 377-0441.
What is Jason Khadavi Dpm, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Jason Khadavi Dpm, Inc. enrolled in Medicare?
Yes. Jason Khadavi Dpm, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jason Khadavi Dpm, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jason Khadavi Dpm, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jason Khadavi Dpm, Inc. was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jason Khadavi Dpm, Inc. · NPI 1558879924
Podiatric organization in Encino, California. Organization record, active in the CMS NPPES registry since January 18, 2018.
## Identity
- **NPI:** 1558879924 (Entity type: Organization)
- **Enumerated:** January 18, 2018
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Jason Khadavi, PRESIDENT
## Practice location
- **Address:** 16661 VENTURA BLVD STE 820, Encino, CA 91436-4801
- **Phone:** (424) 377-0441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1558879924) · Data from the CMS NPPES public registry.