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

Active since December 10, 2021
473 E CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408(909) 244-7430(909) 495-1380 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Jan 18, 2022, Dec 10, 2021 (3 updates tracked since 2021).

About Providence Podiatry Care, Inc NPPES

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

PROVIDENCE PODIATRY CARE, INC (NPI 1376202986) is a healthcare organization registered as a foot & ankle surgery in San Bernardino, California and active in the NPI registry since December 2021. The organization lists Eddie Avila, Secretary/treasuer, as its authorized official.

NPPES Registry Identity

NPI1376202986
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePROVIDENCE PODIATRY CARE, INC
Location Address473 E CARNEGIE DRIVE, SUITE 200San Bernardino, CA 92408
Mailing Address473 E Carnegie Drive, Suite 200San Bernardino, CA 92408 · (909) 244-7430 · Fax (909) 495-1380
Phone(909) 244-7430
Fax(909) 495-1380
Organization SubpartNo
Authorized OfficialEddie AvilaSecretary/treasuer · (909) 244-7430
Enumeration DateDecember 10, 2021
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1376202986 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
473 E CARNEGIE DRIVE, San Bernardino, CA 92408
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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 11

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

MS. ANEL ZARATE
Behavior Technician
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
San Bernardino County (951) 405-3015
MS. MARISSA BRISENO
Behavior Technician
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
San Bernardino County (951) 405-3015
KAELA MCCLARY
Behavior Technician
473 E CARNEGIE DRIVE
SAN BERNADINO, CA 92408
San Bernardino County (760) 237-8070
SYLIVIA A DOMINGUEZ
Behavior Analyst
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
San Bernardino County (657) 236-1287
STEPWELL PODIATRY GROUP INC
Podiatrist
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 244-7430
TAYLOR ALMQUIST
Social Worker (Clinical)
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 300-5058
MS. GABRIELA GUARDADO STYLIANIDES BCBA
Behavior Analyst
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
San Bernardino County (951) 405-3015
LEOMAR HEALTH GROUP INC
Psychiatry & Neurology (Psychiatry)
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (888) 341-4449

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 Providence Podiatry Care, Inc's NPI number?

The NPI number for Providence Podiatry Care, Inc is 1376202986. It was assigned to this organization in the NPPES registry on December 10, 2021.

Where is Providence Podiatry Care, Inc located?

Providence Podiatry Care, Inc is located at 473 E Carnegie Drive Suite 200, San Bernardino, CA 92408. The listed phone number is (909) 244-7430.

What is Providence Podiatry Care, 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 Providence Podiatry Care, Inc was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.