SAN BERNARDINO FOOT CLINIC, INC.
NPI 1154352037
Podiatrist - Foot & Ankle Surgery in San Bernardino, CA
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
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Bernardino Foot Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to San Bernardino Foot Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is San Bernardino Foot Clinic, Inc. enrolled in Medicare?
Yes. San Bernardino Foot Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is San Bernardino Foot Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through San Bernardino Foot Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to San Bernardino Foot Clinic, 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 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.
# San Bernardino Foot Clinic, Inc. · NPI 1154352037
Foot & Ankle Surgery organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1154352037 (Entity type: Organization)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Maria Cuevas, OFFICE MANAGER
## Practice location
- **Address:** 2095 N WATERMAN AVE, San Bernardino, CA 92404-4834
- **Phone:** (909) 882-3800 · **Fax:** (909) 882-3380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
- **Other identifiers:** Medicaid 000E44161 (CA); Other CI863B (CA); Other DD297Z (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154352037) · Data from the CMS NPPES public registry.