MEDICARE: CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1417579129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC.

Provider Business Mailing Address
First Line	:	217 REGAL
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-3542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27462 PORTOLA PKWY STE 100
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92610-2838
Country	:	US
Telephone Number	:	949-468-2525
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALI GHORBANIFARAJZADEH
Credential	:	DPM
Telephone Number	:	305-310-8155

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	10/01/2021

Similar Medicare Providers

1891628772 — RAHMA MEDICAL PC
Practice Location Address:

27051 TOWNE CENTRE DR STE 225
LAKE FOREST, CA
92610-2819

Practice Phone: 949-233-9319
Practice Fax:

1619189586 — DANA M ROBERTS DDS INC
Practice Location Address:

26700 TOWNE CENTRE DRIVE , SUITE 240
LAKE FOREST, CA
92610

Practice Phone: 949-581-5151
Practice Fax:

1124348768 — SHIHYING SHERRY SHAW PSY.D.
Practice Location Address:

26632 TOWNE CENTRE DR STE 300
LAKE FOREST, CA
92610-2814

Practice Phone: 949-354-3549
Practice Fax:

1144588161 — DR. DAVID NGUYEN M.D.
Practice Location Address:

26572 TOWNE CENTRE DR
LAKE FOREST, CA
92610-2417

Practice Phone: 657-900-5055
Practice Fax: 657-230-2233

1043853237 — ALEX CHADWICK VAN DER HAM PA
Practice Location Address:

26730 TOWNE CENTRE DR STE 204
LAKE FOREST, CA
92610-2842

Practice Phone: 949-380-1234
Practice Fax:

1952945628 — HEALTH TALENT STRATEGIES
Practice Location Address:

26090 TOWNE CENTRE DR
LAKE FOREST, CA
92610-3441

Practice Phone: 949-709-1883
Practice Fax:

Directions to “CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.