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

Dr. Jason Khadavi, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1831534197

Dr. Jason Khadavi, DPM is a Podiatry in Encino, California. Graduated from California School of Podiatric Medicine in 2010, 16 years ago. Practices with La Medical Clinic Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

16661 Ventura Blvd Ste 820
Encino, CA 91436-4801
Phone: (424) 377-0441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5064 (CA)

Record details

NPI number1831534197
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address16661 Ventura Blvd Ste 820, Encino, CA 91436-4801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice La Medical Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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