SOCAL PODIATRY, P.C.
NPI 1689067266
Podiatrist - Foot & Ankle Surgery in Downey, CA

Active since March 06, 2015
11411 BROOKSHIRE AVE STE 501, DOWNEY, CA 90241(562) 651-1050(562) 868-2828 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Socal Podiatry, P.c. NPPES

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

SOCAL PODIATRY, P.C. (NPI 1689067266) is a healthcare organization registered as a foot & ankle surgery in Downey, California and active in the NPI registry since March 2015. The organization maintains a secondary practice location in Moreno Valley and lists Stephen Allen Boykins, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1689067266
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOCAL PODIATRY, P.C.
Location Address11411 BROOKSHIRE AVE STE 501Downey, CA 90241-5007
Mailing AddressPo Box 1321Moreno Valley, CA 92556-1321 · (954) 734-0713
Fax(562) 868-2828
Organization SubpartNo
Authorized OfficialStephen Allen BoykinsPresident/ceo · (954) 734-0713
Enumeration DateMarch 6, 2015
Last NPPES UpdateOctober 1, 2018
✔ NPI 1689067266 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 · E5157
11411 BROOKSHIRE AVE STE 501, Downey, CA 90241

Secondary Practice Location 1

Location 122635 Alessandro Blvd Ste EMoreno Valley, CA 92553-8550 · Phone (951) 653-0200 · Fax (951) 653-0201

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Socal Podiatry, P.c. 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 Socal Podiatry, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1689014318
11411 BROOKSHIRE AVE STE 501
Downey, CA 90241
(562) 651-1050
✔ PECOSSame 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 Socal Podiatry, P.C.'s NPI number?

The NPI number for Socal Podiatry, P.C. is 1689067266. It was assigned to this organization in the NPPES registry on March 6, 2015.

Where is Socal Podiatry, P.C. located?

Socal Podiatry, P.C. is located at 11411 Brookshire Ave Ste 501, Downey, CA 90241. The listed phone number is (562) 651-1050.

What is Socal Podiatry, P.C.'s specialty?

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

Is Socal Podiatry, P.C. enrolled in Medicare?

Yes. Socal Podiatry, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Socal Podiatry, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Socal Podiatry, P.C.. 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 Socal Podiatry, P.C. was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.