New Age Foot and Ankle Podiatry PC
NPI 1710302450 · Foot & Ankle Surgery Podiatrist · Glendale, CA
New Age Foot and Ankle Podiatry PC is a Foot & Ankle Surgery Podiatrist organization in Glendale, CA (NPI 1710302450).
Provider details
- NPI number
- 1710302450
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Aleksander Lavrenov, President(917) 687-7528
- License
- E 5019 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-04
- Last updated
- 2014-03-04
Frequently asked questions
- What is New Age Foot and Ankle Podiatry PC's NPI number?
- New Age Foot and Ankle Podiatry PC's National Provider Identifier (NPI) is 1710302450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Age Foot and Ankle Podiatry PC?
- New Age Foot and Ankle Podiatry PC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is New Age Foot and Ankle Podiatry PC located?
- New Age Foot and Ankle Podiatry PC's practice location on file with NPPES is 705 Ivy Street, Glendale, CA 91204.
- What is New Age Foot and Ankle Podiatry PC's phone number?
- The practice phone number listed in the NPPES registry for New Age Foot and Ankle Podiatry PC is (917) 687-7528.
- Who is the authorized official for New Age Foot and Ankle Podiatry PC?
- The authorized official listed on New Age Foot and Ankle Podiatry PC's NPPES record is Aleksander Lavrenov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Age Foot and Ankle Podiatry PC's NPI active?
- Yes — New Age Foot and Ankle Podiatry PC's NPI (1710302450) is active in the NPPES registry as of the last update on 2014-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.