MEDICARE: ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213E00000X	Podiatrist
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1144980517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC

Provider Business Mailing Address
First Line	:	PO BOX 843263
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90084-3263
Country	:	US
Telephone Number	:	847-627-4920
Fax Number	:	224-220-9743

Provider Business Practice Location Address
First Line	:	26691 PLAZA STE 201
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-272-0007
Fax Number	:	949-272-0006

Authorized Official
Title or Position	:	CMO
Name	:	ALEXANDER REYZELMAN
Credential	:	DPM
Telephone Number	:	415-292-0638

Provider Enumeration Date	:	12/27/2021
Last Update Date	:	01/27/2026

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