FOOT RESTORE PODIATRY, PC
NPI 1497644009
Clinic/Center - Podiatric in Rancho Cucamonga, CA

Active since June 30, 2025
11769 MOUNT GUNNISON CT, RANCHO CUCAMONGA, CA 91737(909) 702-3422 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Foot Restore Podiatry, Pc NPPES

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

FOOT RESTORE PODIATRY, PC (NPI 1497644009) is a healthcare organization registered as a podiatric in Rancho Cucamonga, California and active in the NPI registry since June 2025. The organization lists Bryan Katz, Podiatrist, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1497644009
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameFOOT RESTORE PODIATRY, PC
Location Address11769 MOUNT GUNNISON CTRancho Cucamonga, CA 91737-7918
Mailing Address11769 Mount Gunnison CtRancho Cucamonga, CA 91737-7918 · (909) 702-3422
Organization SubpartNo
Authorized OfficialBryan KatzPodiatrist, Chief Executive Officer · (909) 702-3422
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1497644009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
11769 MOUNT GUNNISON CT, Rancho Cucamonga, CA 91737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot Restore Podiatry, Pc 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 Foot Restore Podiatry, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1942696380
5353 WOODRIDGE CT
Alta Loma, CA 91737
(909) 702-3422
✔ PECOS✔ Accepts Medicare2.2 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 Foot Restore Podiatry, PC's NPI number?

The NPI number for Foot Restore Podiatry, PC is 1497644009. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Foot Restore Podiatry, PC located?

Foot Restore Podiatry, PC is located at 11769 Mount Gunnison Ct, Rancho Cucamonga, CA 91737. The listed phone number is (909) 702-3422.

What is Foot Restore Podiatry, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Foot Restore Podiatry, PC enrolled in Medicare?

Yes. Foot Restore Podiatry, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot Restore Podiatry, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot Restore Podiatry, PC. 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 Foot Restore Podiatry, PC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.