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GLENDALE FOOT & ANKLE PODIATRY CENTER, INC.
NPI 1710173489
Podiatrist - Foot & Ankle Surgery in Glendale, CA

Active since September 17, 2007
110 S ADAMS ST, GLENDALE, CA 91205(818) 242-4426(818) 242-4409 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2023, Dec 11, 2018 (2 updates tracked since 2018).

About Glendale Foot & Ankle Podiatry Center, Inc. NPPES

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

GLENDALE FOOT & ANKLE PODIATRY CENTER, INC. (NPI 1710173489) is a healthcare organization registered as a foot & ankle surgery in Glendale, California and active in the NPI registry since September 2007. The organization lists Hermoz B Ayvazian, Owner, as its authorized official.

NPPES Registry Identity

NPI1710173489
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGLENDALE FOOT & ANKLE PODIATRY CENTER, INC.
Location Address110 S ADAMS STGlendale, CA 91205-1312
Mailing Address110 S Adams StGlendale, CA 91205-1312 · (818) 242-4426 · Fax (818) 242-4409
Phone(818) 242-4426
Fax(818) 242-4409
Organization SubpartNo
Authorized OfficialHermoz B AyvazianOwner · (818) 242-4426
Enumeration DateSeptember 17, 2007
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1710173489 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 · E3761
110 S ADAMS ST, Glendale, CA 91205
Open in Google Maps ↗

Other Identifiers 4

OtherZZZ60226ZCA · Blue Shield
Other480027586CA · Railroad Medicare
Medicaid000E37610CA
Other05D0856782CA · Clia

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)

Glendale Foot & Ankle Podiatry Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Glendale Foot & Ankle Podiatry Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Hermoz Ayvazian, DPM
Podiatry
NPI 1760564272
110 S ADAMS ST
Glendale, CA 91205
(818) 242-4426
✔ PECOS✔ Accepts MedicareSame address
Chrestin Elisha, DPM
Podiatry
NPI 1578188181
110 S ADAMS ST
Glendale, CA 91205
(818) 242-4426
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0856782

Glendale Foot & Ankle Podiatry Ctr · Glendale, CA
Expired · Sep 30, 2026
CLIA Number05D0856782
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRazmik Ogandjanian
Laboratory Phone(818) 242-4426
Laboratory LocationGlendale Foot & Ankle Podiatry Ctr110 S Adams St, Glendale, CA 91202
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Glendale Foot & Ankle Podiatry Center, Inc.'s NPI number?

The NPI number for Glendale Foot & Ankle Podiatry Center, Inc. is 1710173489. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is Glendale Foot & Ankle Podiatry Center, Inc. located?

Glendale Foot & Ankle Podiatry Center, Inc. is located at 110 S Adams St, Glendale, CA 91205. The listed phone number is (818) 242-4426.

What is Glendale Foot & Ankle Podiatry Center, Inc.'s specialty?

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

Is Glendale Foot & Ankle Podiatry Center, Inc. enrolled in Medicare?

Yes. Glendale Foot & Ankle Podiatry Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glendale Foot & Ankle Podiatry Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Glendale Foot & Ankle Podiatry 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glendale Foot & Ankle Podiatry Center, Inc. was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.