HOLLYWOOD FOOT & ANKLE CLINIC
NPI 1568765915
Podiatrist - Foot & Ankle Surgery in Encino, CA

Active since December 07, 2010
17777 VENTURA BLVD, 252, ENCINO, CA 91316(323) 912-9220(323) 206-5251 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hollywood Foot & Ankle Clinic NPPES

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

HOLLYWOOD FOOT & ANKLE CLINIC (NPI 1568765915) is a healthcare organization registered as a foot & ankle surgery in Encino, California and active in the NPI registry since December 2010. The organization lists Majid Seyedin, Owner, as its authorized official.

NPPES Registry Identity

NPI1568765915
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT & ANKLE PHYSICIANS & SURGEONS, PC
Location Address17777 VENTURA BLVD, 252Encino, CA 91316-3736
Mailing Address710 S Myrtle Ave, 105Monrovia, CA 91016-3423 · (248) 835-0121 · Fax (323) 206-5251
Fax(323) 206-5251
Organization SubpartNo
Authorized OfficialMajid SeyedinOwner · (323) 912-9220
Enumeration DateDecember 7, 2010
Last NPPES UpdateJuly 8, 2013
✔ NPI 1568765915 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
License✔ Licensed in CA · E4877
17777 VENTURA BLVD, Encino, CA 91316

Other Names 1

Doing Business AsHollywood Foot & Ankle Clinic

Other Identifiers 1

Other1194040071CA · Individual Npi Number

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20110526000396Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Podiatry
NPI 1194040071
17777 VENTURA BLVD 252
Encino, CA 91316
(323) 912-9220
✔ PECOS✔ Accepts MedicareSame address

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 & Ankle Physicians & Surgeons, PC's NPI number?

The NPI number for Foot & Ankle Physicians & Surgeons, PC is 1568765915. It was assigned to this organization in the NPPES registry on December 7, 2010. The provider is doing business as Hollywood Foot & Ankle Clinic.

Where is Foot & Ankle Physicians & Surgeons, PC located?

Foot & Ankle Physicians & Surgeons, PC is located at 17777 Ventura Blvd 252, Encino, CA 91316. The listed phone number is (323) 912-9220.

What is Foot & Ankle Physicians & Surgeons, PC's specialty?

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

Is Foot & Ankle Physicians & Surgeons, PC enrolled in Medicare?

Yes. Foot & Ankle Physicians & Surgeons, PC is registered in the Medicare PECOS enrollment system.

When is Foot & Ankle Physicians & Surgeons, PC'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 November 30, 2026. 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 Foot & Ankle Physicians & Surgeons, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot & Ankle Physicians & Surgeons, PC. 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 & Ankle Physicians & Surgeons, PC was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.