HIGH DESERT FOOT & ANKLE CLINIC A
NPI 1104204775
Podiatrist - Foot & Ankle Surgery in Victorville, CA

Active since May 14, 2015
15366 11TH ST, SUITE A, VICTORVILLE, CA 92395(760) 951-1234(760) 951-1611 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About High Desert Foot & Ankle Clinic A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGH DESERT FOOT & ANKLE CLINIC A (NPI 1104204775) is a healthcare organization registered as a foot & ankle surgery in Victorville, California and active in the NPI registry since May 2015. The organization lists Wonsik Y Bollmann, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1104204775
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameHIGH DESERT FOOT & ANKLE CLINIC A
Location Address15366 11TH ST, SUITE AVictorville, CA 92395-3726
Mailing Address15366 11th St, Suite AVictorville, CA 92395-3726 · (760) 951-1234 · Fax (760) 951-1611
Fax(760) 951-1611
Organization SubpartNo
Authorized OfficialWonsik Y BollmannOwner/podiatrist · (760) 951-1234
Enumeration DateMay 14, 2015
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
NPI 1104204775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E3966
15366 11TH ST, Victorville, CA 92395

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
15366 11TH ST, SUITE D
VICTORVILLE, CA 92395
Dentist (General Practice)
15366 11TH ST, SUITE F
VICTORVILLE, CA 92395
Podiatrist
15366 11TH ST, STE A
VICTORVILLE, CA 92395
Physician Assistant
15366 11TH ST, SUITE K
VICTORVILLE, CA 92395
Nurse Practitioner
15366 11TH ST
VICTORVILLE, CA 92395
Dentist (General Practice)
15366 11TH ST, SUITE F
VICTORVILLE, CA 92395
Preventive Medicine (Public Health & General Preventive Medicine)
15366 11TH ST, SUITE K
VICTORVILLE, CA 92395
Obstetrics & Gynecology
15366 11TH ST, SUITE N
VICTORVILLE, CA 92395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Desert Foot & Ankle Clinic A's NPI number?

The NPI number for High Desert Foot & Ankle Clinic A is 1104204775. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is High Desert Foot & Ankle Clinic A located?

High Desert Foot & Ankle Clinic A is located at 15366 11th St Suite A, Victorville, CA 92395. The listed phone number is (760) 951-1234.

What is High Desert Foot & Ankle Clinic A's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for High Desert Foot & Ankle Clinic A was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.