PRO FOOT AND ANKLE CLINIC.INC
NPI 1407417405
Podiatrist - Primary Podiatric Medicine in Garden Grove, CA

Active since June 21, 2019
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844(714) 636-3032 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pro Foot And Ankle Clinic.inc NPPES

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

PRO FOOT AND ANKLE CLINIC.INC (NPI 1407417405) is a healthcare organization registered as a primary podiatric medicine in Garden Grove, California and active in the NPI registry since June 2019. The organization lists Luke S Won, Dpm/president, as its authorized official.

NPPES Registry Identity

NPI1407417405
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NamePRO FOOT AND ANKLE CLINIC.INC
Location Address9896 GARDEN GROVE BLVDGarden Grove, CA 92844-1643
Mailing Address9896 Garden Grove BlvdGarden Grove, CA 92844-1643 · (714) 636-3032
Organization SubpartNo
Authorized OfficialLuke S WonDpm/president · (510) 502-6046
Enumeration DateJune 21, 2019
✔ NPI 1407417405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
9896 GARDEN GROVE BLVD, Garden Grove, CA 92844

Other Identifiers 1

OtherE5409CA · Podiatry

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro Foot And Ankle Clinic.inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pro Foot And Ankle Clinic.Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1144625823
520 N MAIN ST STE 120
Santa Ana, CA 92701
(714) 352-5800
✔ PECOS✔ Accepts Medicare5.5 mi

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 Pro Foot And Ankle Clinic.Inc's NPI number?

The NPI number for Pro Foot And Ankle Clinic.Inc is 1407417405. It was assigned to this organization in the NPPES registry on June 21, 2019.

Where is Pro Foot And Ankle Clinic.Inc located?

Pro Foot And Ankle Clinic.Inc is located at 9896 Garden Grove Blvd, Garden Grove, CA 92844. The listed phone number is (714) 636-3032.

What is Pro Foot And Ankle Clinic.Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Pro Foot And Ankle Clinic.Inc enrolled in Medicare?

Yes. Pro Foot And Ankle Clinic.Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Foot And Ankle Clinic.Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Pro Foot And Ankle 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 Pro Foot And Ankle Clinic.Inc was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.