Pnc Podiatry of Southern California PC
NPI 1477317667ActiveOrganization· Podiatrist· Santa Monica, CA
Podiatrist in Santa Monica, California, registered in NPPES in February 2024. The authorized official on file is Alexander M. Reyzelman, DPM, Cmo.
Overview
| NPI | 1477317667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2024 |
| Last updated in NPPES | Feb 8, 2024 |
| Certified by provider | Feb 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Podiatrist, Foot Surgery | 213ES0131X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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