CARSON FOOT CLINIC A PODIATRIST GROUP INC
NPI 1154315034
Podiatrist in Carson, CA

Q: What is Carson Foot Clinic A Podiatrist Group Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since September 07, 2005

500 E CARSON ST, STE 112, CARSON, CA 90745(310) 518-3972(310) 518-3998 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Carson Foot Clinic A Podiatrist Group Inc NPPES

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

CARSON FOOT CLINIC A PODIATRIST GROUP INC (NPI 1154315034) is a healthcare organization registered as a podiatrist in Carson, California and active in the NPI registry since September 2005. The organization lists Buu Kim Wong, President, as its authorized official.

NPPES Registry Identity

NPI1154315034

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameCARSON FOOT CLINIC A PODIATRIST GROUP INC

Location Address500 E CARSON ST, STE 112Carson, CA 90745-2713

Mailing Address500 E Carson St, Ste 112Carson, CA 90745-2713 · (310) 518-3972 · Fax (310) 518-3998

Phone(310) 518-3972

Fax(310) 518-3998

Organization SubpartNo

Authorized OfficialBuu Kim WongPresident · (310) 518-3972

Enumeration DateSeptember 7, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1154315034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in CA · E2351

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

500 E CARSON ST, Carson, CA 90745

Open in Google Maps ↗

Other Identifiers 1

Medicaid000E23510CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carson Foot Clinic A Podiatrist Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carson Foot Clinic A Podiatrist Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Buu Wong, D.P.M.

Podiatry

NPI 1306980107

500 E CARSON ST STE 112
Carson, CA 90745

(310) 518-3972

✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carson Foot Clinic A Podiatrist Group Inc's NPI number?

The NPI number for Carson Foot Clinic A Podiatrist Group Inc is 1154315034. It was assigned to this organization in the NPPES registry on September 7, 2005.

Where is Carson Foot Clinic A Podiatrist Group Inc located?

Carson Foot Clinic A Podiatrist Group Inc is located at 500 E Carson St Ste 112, Carson, CA 90745. The listed phone number is (310) 518-3972.

What is Carson Foot Clinic A Podiatrist Group Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Carson Foot Clinic A Podiatrist Group Inc enrolled in Medicare?

Yes. Carson Foot Clinic A Podiatrist Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carson Foot Clinic A Podiatrist Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Carson Foot Clinic A Podiatrist Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carson Foot Clinic A Podiatrist Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.