Shadi Yadegaran
Podiatrist (Foot & Ankle Surgery)

Address: 2601 W Alameda Ave, Suite 208, Burbank, CA 91505-4800
Phone: 3105587075

Shadi Yadegaran (NPI# 1568886075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568886075
Entity Type Individual
Full Name Shadi Yadegaran
Gender Female
Practice Address 2601 W Alameda Ave
Suite 208
Burbank
CA 91505-4800
Practice Telephone 3105587075
Mailing Address 2601 W Alameda Ave
Suite 208
Burbank
CA 91505-4800
Mailing Telephone 8185587075
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2014-02-05
Last Update Date 2014-10-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 213ES0103X Podiatrist · Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers E4946 CA

Physician Overview

NPI 1568886075
PAC ID by PECOS 5395966428
Professional Enrollment ID I20141014002335
Full Name Shadi Yadegaran
Organization Legal Name PROFESSIONAL FOOT AND ANKLE CENTER INC
Phone Number 8185587075
Gender F
Medical School CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 2008
Primary Specialty PODIATRY
Group Practice PAC ID 3173743606
Number of Group Practice Members 2
Accepts Medicare Assignment Y
Report Quality Measures Y

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_110_1 Preventive Care and Screening: Influenza Immunization 65%
PQRS_EP_111_1 Pneumonia Vaccination Status for Older Adults 77%
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100%
PQRS_EP_131_1 Pain Assessment and Follow-Up 100%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Office Location

Street Address 2601 W ALAMEDA AVE
SUITE 208
City BURBANK
State CA
Zip Code 91505-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274994 John U Buchman Dermatology 2601 W Alameda Ave, Ste 111, Burbank, CA 91505-4810 2005-06-01
1073053740 Stella Lee Nurse Practitioner 2601 W Alameda Ave, 410, Burbank, CA 91505-4800 2017-03-01
1164972436 Anouki N Karu, Md, Inc Anesthesiology 2601 W Alameda Ave, Ste.#312, Burbank, CA 91505-4800 2016-10-10
1710377296 Burbank Brachytherapy Institute Inc Radiology 2601 W Alameda Ave, Suite 300, Burbank, CA 91505-4800 2015-02-04
1063811883 Martin Gelbard Md, Inc Urology 2601 W Alameda Ave, Suite 216, Burbank, CA 91505-4800 2014-08-18
1124431911 Professional Foot and Ankle Center, Inc Podiatrist 2601 W Alameda Ave, Suite 208, Burbank, CA 91505-4800 2014-06-09
1902231426 Burbank Family Orthodontics Dentist 2601 W Alameda Ave, Suite 112, Burbank, CA 91505-4800 2013-09-04
1225378078 California Sleep Center Clinic/Center 2601 W Alameda Ave, Suite 300, Burbank, CA 91505-4800 2013-02-14
1306117817 Theodore S. Feit, M.d., Inc. Clinic/Center 2601 W Alameda Ave, Suite 310, Burbank, CA 91505-4800 2012-01-16
1336432327 Spectrum Care & Wellness Professional Corporation Family Medicine 2601 W Alameda Ave, Ste. 111, Burbank, CA 91505-4800 2011-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699204974 Beth Ellen Izbotsky Physical Medicine & Rehabilitation 501 S Buena Vista Blvd, Burbank, CA 91505 2017-06-08
1205387446 Fabiola Bachman Dentist 138 N Pass Ave, 2, Burbank, CA 91505 2016-10-24
1114478203 Marianna Ghularyan D.d.s. Inc Dentist 1400 N. Edison Blvd., Burbank, CA 91505 2016-10-24
1962952127 Landa Mizin Dental Partnership Dentist 2625 W Alameda Ave Ste 502, Burbank, CA 91505 2016-10-11
1306238381 Abigail Merrin Specialist/Technologist 2701 W Alameda Ave Ste 206, Burbank, CA 91505 2015-02-26
1295123669 East Valley Audiology Audiologist 191 So. Buena Vista, Suite 320-a, Burbank, CA 91505 2015-01-07
1609270693 Deborah Lakeman Marriage & Family Therapist 3808 Riverside Drive, Suite 503, Burbank, CA 91505 2014-10-20
1730505348 Anka Behavioral Health, Inc. Community/Behavioral Health 2120 N Maple St, Burbank, CA 91505 2014-03-07
1811313422 Anka Hehavioral Health, Inc. Community/Behavioral Health 3318 W Wyoming Ave, Burbank, CA 91505 2014-03-07
1467883868 Medtown Rx Inc Pharmacy 4128 W Burbank Blvd, Burbank, CA 91505 2013-12-10
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790262590 Levine Foot and Ankle Surgery Podiatrist 2601 W Alameda Ave Ste 507, Burbank, CA 91505-4800 2018-07-24
1982886412 Joseph Park Podiatrist 191 S Buena Vista St Ste 315, Burbank, CA 91505-4556 2007-11-27
1558551333 Rodney E Sanneman, D.p.m. A Medical Corporation Podiatrist 255 E Orange Grove Ave Ste A, Burbank, CA 91502-1240 2007-07-27
1023091808 John Donald Halebian Podiatrist 531 N Beachwood Dr, Burbank, CA 91506-1801 2005-11-25
1124431911 Professional Foot and Ankle Center, Inc Podiatrist 2601 W Alameda Ave, Suite 208, Burbank, CA 91505-4800 2014-06-09
1487090973 Michael George Wheeler Podiatrist 201 S Buena Vista St, Suite 305, Burbank, CA 91505-4569 2013-05-11
1063659704 Western Podmed Clinic Inc Podiatrist 2625 W Alameda Ave, Ste 314, Burbank, CA 91505-4822 2009-01-16
1790956209 Esp Medical Group Inc Podiatrist 2601 W Alameda Ave, Ste 208, Burbank, CA 91505-4800 2008-03-13
1619076429 Franklin Kase Podiatrist 241 W Olive Ave, Burbank, CA 91502-1825 2006-09-21
1144330283 Los Angeles Institute of Foot and Ankle Surgery, Inc. Podiatrist 201 S Buena Vista St, Suite 235, Burbank, CA 91505-4569 2006-08-30
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Competitor

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City BURBANK
Zip Code 91505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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