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DR. CORY CLEMENT D.P.M.
NPI 1154736684
Podiatrist - Foot & Ankle Surgery in San Fernando, CA

Active since June 23, 2014PECOS Enrolled
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340(818) 365-8086(818) 365-6916 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2022, Feb 25, 2020, May 20, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Cory Clement D.p.m. NPPES

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

DR. CORY CLEMENT D.P.M. (NPI 1154736684) is an individual foot & ankle surgery provider in San Fernando, California, licensed in California (E5365) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1154736684
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. CORY CLEMENTCredential: D.P.M.
Location Address1600 SAN FERNANDO RDSan Fernando, CA 91340-3115
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 270-9590
Phone(818) 365-8086
Fax(818) 365-6916
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateJanuary 8, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2022
✔ NPI 1154736684 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 · E5365
1600 SAN FERNANDO RD, San Fernando, CA 91340
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cory Clement D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810220597
PECOS Enrollment IDI20190612000883
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cory Clement reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Valley Health Corporation
Same address
Federally Qualified Health Center (FQHC)
1600 SAN FERNANDO RD
San Fernando, CA 91340
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1235130600 (818) 365-8086

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

Other Providers at the Same Location NPPES 20

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

SUSAN EGLICK LEVY M.D.
Pediatrics
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
MS. REBECCA LEE CROSS N.P.
Nurse Practitioner (Family)
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
MR. ALBERT MEDINA PASCUAL M.D.
Internal Medicine
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
LARA ACCAD ABBOTT M.D.
Pediatrics
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
DR. RYAN ZHONG-WEI HUANG I DDS
Dentist
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
AQEELA ATHAR RDH
Dental Hygienist
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
LARISA GORELIK PHARMACIST
Pharmacist
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
SILVIA DARIE M.D.
Internal Medicine
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086

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 Cory Clement's NPI number?

The NPI number for Cory Clement is 1154736684. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Cory Clement located?

Cory Clement practices at 1600 San Fernando Rd, San Fernando, CA 91340. The listed phone number is (818) 365-8086.

What is Cory Clement's specialty?

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

Is Cory Clement enrolled in Medicare?

Yes. Cory Clement is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cory Clement's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cory Clement reassigns Medicare benefits to Northeast Valley Health Corporation (San Fernando, CA). The 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 Cory Clement's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cory Clement was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.