PROVIDENCE PODIATRY CARE, INC
NPI 1376202986
Podiatrist - Foot & Ankle Surgery in San Bernardino, CA

NPI Status: Active since December 10, 2021

Contact Information

473 E CARNEGIE DRIVE
SUITE 200
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 244-7430
Fax: (909) 495-1380

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Podiatrist
Foot & Ankle Surgery

About PROVIDENCE PODIATRY CARE, INC

This page provides the complete NPI Profile along with additional information for Providence Podiatry Care, Inc, a provider established in San Bernardino, California operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1376202986 assigned on December 2021. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Eddie Avila (Secretary/treasuer)

NPI: 1376202986
Provider Name: PROVIDENCE PODIATRY CARE, INC
Entity Type: Organization
Location Address: 473 E CARNEGIE DRIVE SUITE 200 SAN BERNARDINO, CA 92408
Location Phone: (909) 244-7430
Location Fax: (909) 495-1380
Mailing Address: 473 E CARNEGIE DRIVE SUITE 200 SAN BERNARDINO, CA 92408
Mailing Phone: (909) 244-7430
Mailing Fax: (909) 495-1380
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-10-2021
Last Update Date: 06-21-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Podiatrist Foot & Ankle Surgery
Taxonomy Code: 213ES0103X
Type: Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: EDDIE AVILA
Authorized Official Title: SECRETARY/TREASUER
Authorized Official Phone: (909) 244-7430

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	7	6	2	0	2	9	8	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	14	6	4	0	4	9	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 4 + 0 + 4 + 9 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1376202986 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.