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

Q: 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.

Q: What is Cory Clement's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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