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PRIME PODIATRIC GROUP, INC
NPI 1962265835
Podiatrist - Foot & Ankle Surgery in Toluca Lake, CA

Active since February 02, 2024
10916 RIVERSIDE DR, TOLUCA LAKE, CA 91602(818) 488-6076(818) 210-0281 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prime Podiatric Group, Inc NPPES

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

PRIME PODIATRIC GROUP, INC (NPI 1962265835) is a healthcare organization registered as a foot & ankle surgery in Toluca Lake, California and active in the NPI registry since February 2024. The organization lists Jonathan Jay Pirak, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1962265835
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRIME PODIATRIC GROUP, INC
Location Address10916 RIVERSIDE DRToluca Lake, CA 91602-2210
Mailing Address10916 Riverside DrToluca Lake, CA 91602-2210 · (818) 488-6076 · Fax (818) 210-0281
Phone(818) 488-6076
Fax(818) 210-0281
Organization SubpartNo
Authorized OfficialJonathan Jay PirakCeo/owner · (818) 488-6076
Enumeration DateFebruary 2, 2024
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1962265835 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
10916 RIVERSIDE DR, Toluca Lake, CA 91602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Prime Podiatric Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Prime Podiatric Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nina Robinson, DPM
Podiatry
NPI 1477696078
240 S LA CIENEGA BLVD #300
Beverly Hills, CA 90211
(310) 652-3668
✔ PECOS✔ Accepts Medicare6.1 mi
Jonathan Pirak, DPM
Podiatry
NPI 1528598133
1420 AMBASSADOR ST APT 304
Los Angeles, CA 90035
(201) 563-2937
✔ PECOS7.1 mi
Dwight Stephens, DPM
Podiatry
NPI 1053334813
323 N PRAIRIE AVE SUITE 320
Inglewood, CA 90301
(310) 671-5800
✔ PECOS✔ Accepts Medicare13 mi

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 Prime Podiatric Group, Inc's NPI number?

The NPI number for Prime Podiatric Group, Inc is 1962265835. It was assigned to this organization in the NPPES registry on February 2, 2024.

Where is Prime Podiatric Group, Inc located?

Prime Podiatric Group, Inc is located at 10916 Riverside Dr, Toluca Lake, CA 91602. The listed phone number is (818) 488-6076.

What is Prime Podiatric Group, Inc's specialty?

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

Is Prime Podiatric Group, Inc enrolled in Medicare?

Yes. Prime Podiatric Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Podiatric Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Prime Podiatric Group, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prime Podiatric Group, Inc was last updated on April 17, 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.