Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foot and Ankle Specialist

Organization Foot & Ankle Surgery Podiatrist · NPI 1053616086

Foot and Ankle Specialist is a Foot & Ankle Surgery Podiatrist in Irvine, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

16405 Sand Canyon Ave Ste 270
Irvine, CA 92618-3792
Phone: (949) 651-1202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E4880 (CA)

Record details

NPI number1053616086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gennady Kolodenker — Owner · (949) 651-1202
NPI enumeratedJanuary 23, 2011
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing address16405 Sand Canyon Ave Ste 270, Irvine, CA 92618-3792

Other providers in Irvine