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

Mark R Shelly, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1902922149

Mark R Shelly, DPM is a Podiatry in Encino, California. Graduated from California School of Podiatric Medicine in 1985, 41 years ago. Practices with Coast to Coast Foot Doctors, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2007
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

17609 Ventura Blvd Ste 210
Encino, CA 91316-5123
Phone: (818) 708-7668
Fax: (818) 708-9668
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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 E3427 (CA)

Record details

NPI number1902922149
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESFebruary 14, 2017

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1985 (41 years in practice)
Group practice Coast To Coast Foot Doctors — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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