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SAN BERNARDINO FOOT CLINIC, INC.
NPI 1154352037
Podiatrist - Foot & Ankle Surgery in San Bernardino, CA

Active since July 06, 2006
2095 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 882-3800(909) 882-3380 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2024, Jul 21, 2022, Jul 12, 2017 (3 updates tracked since 2017).

About San Bernardino Foot Clinic, Inc. NPPES

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

SAN BERNARDINO FOOT CLINIC, INC. (NPI 1154352037) is a healthcare organization registered as a foot & ankle surgery in San Bernardino, California and active in the NPI registry since July 2006. The organization lists Maria Cuevas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154352037
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSAN BERNARDINO FOOT CLINIC, INC.
Location Address2095 N WATERMAN AVESan Bernardino, CA 92404-4834
Mailing Address2095 N Waterman AveSan Bernardino, CA 92404-4834 · (909) 882-3800 · Fax (909) 882-3380
Phone(909) 882-3800
Fax(909) 882-3380
Organization SubpartNo
Authorized OfficialMaria CuevasOffice Manager · (909) 882-3800
Enumeration DateJuly 6, 2006
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1154352037 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 · E4416
2095 N WATERMAN AVE, San Bernardino, CA 92404
Open in Google Maps ↗

Other Identifiers 4

Medicaid000E44161CA
OtherCI863BCA · Medicare Ptan
OtherDD297ZCA · Medicare Individual
Medicaid0253335CA

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

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

DR. SANG DAE LEE DPM
Podiatrist (Foot & Ankle Surgery)
2095 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-3800

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 San Bernardino Foot Clinic, Inc.'s NPI number?

The NPI number for San Bernardino Foot Clinic, Inc. is 1154352037. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is San Bernardino Foot Clinic, Inc. located?

San Bernardino Foot Clinic, Inc. is located at 2095 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 882-3800.

What is San Bernardino Foot Clinic, Inc.'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 San Bernardino Foot Clinic, Inc. was last updated on February 21, 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.