JONATHAN TAVAKOLI DPM
NPI 1891478111
Clinic/Center - Podiatric in Los Angeles, CA
About Jonathan Tavakoli Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN TAVAKOLI DPM (NPI 1891478111) is a healthcare organization registered as a podiatric in Los Angeles, California and active in the NPI registry since August 2023. The organization lists Jonathan Tavakoli, Ceo, 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)
Jonathan Tavakoli Dpm 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 Jonathan Tavakoli DPM, 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 Jonathan Tavakoli Dpm's NPI number?
The NPI number for Jonathan Tavakoli Dpm is 1891478111. It was assigned to this organization in the NPPES registry on August 11, 2023.
Where is Jonathan Tavakoli Dpm located?
Jonathan Tavakoli Dpm is located at 10518 Wilkins Ave, Los Angeles, CA 90024. The listed phone number is (310) 651-0098.
What is Jonathan Tavakoli Dpm's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Jonathan Tavakoli Dpm enrolled in Medicare?
Yes. Jonathan Tavakoli Dpm is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jonathan Tavakoli Dpm?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jonathan Tavakoli Dpm. 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 Jonathan Tavakoli Dpm was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jonathan Tavakoli Dpm · NPI 1891478111
Podiatric organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 11, 2023.
## Identity
- **NPI:** 1891478111 (Entity type: Organization)
- **Enumerated:** August 11, 2023
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Jonathan Tavakoli, CEO
## Practice location
- **Address:** 10518 WILKINS AVE, Los Angeles, CA 90024-6032
- **Phone:** (310) 651-0098
## 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:** February 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891478111) · Data from the CMS NPPES public registry.