ORANGE COUNTY FOOT AND ANKLE GROUP, INC.
NPI 1639102833
Podiatrist - Foot & Ankle Surgery in Fullerton, CA

Q: What is Orange County Foot And Ankle Group, Inc.'s specialty?

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

Active since July 09, 2006

300 N EUCLID ST, SUITE A, FULLERTON, CA 92832(714) 888-6860(714) 888-6867 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2018, Mar 15, 2018 (2 updates tracked since 2018).

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About Orange County Foot And Ankle Group, Inc. NPPES

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

ORANGE COUNTY FOOT AND ANKLE GROUP, INC. (NPI 1639102833) is a healthcare organization registered as a foot & ankle surgery in Fullerton, California and active in the NPI registry since July 2006. The organization lists Jonathan Ian Bennett, President, as its authorized official.

NPPES Registry Identity

NPI1639102833

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameORANGE COUNTY FOOT AND ANKLE GROUP, INC.

Location Address300 N EUCLID ST, SUITE AFullerton, CA 92832-1623

Mailing Address300 N Euclid St, Suite AFullerton, CA 92832-1623 · (714) 888-6860 · Fax (714) 888-6867

Phone(714) 888-6860

Fax(714) 888-6867

Organization SubpartNo

Authorized OfficialJonathan Ian BennettPresident · (714) 888-6860

Enumeration DateJuly 9, 2006

Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration

✔ NPI 1639102833 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 · E4301

300 N EUCLID ST, Fullerton, CA 92832

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orange County Foot And Ankle Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Orange County Foot And Ankle Group, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Jonathan Bennett, D.P.M.

Podiatry

NPI 1497850325

300 N EUCLID ST SUITE A
Fullerton, CA 92832

(714) 888-6860

✔ PECOS✔ Accepts MedicareSame address

Corey Lejeune, DPM

Podiatry

NPI 1891949426

300 N EUCLID ST SUITE A
Fullerton, CA 92832

(714) 888-6860

✔ PECOS✔ Accepts MedicareSame address

Tam Nguyen

Podiatry

NPI 1245685320

300 N EUCLID ST
Fullerton, CA 92832

(714) 888-6860

✔ PECOSSame address

Serra Ryu, D.P.M.

Podiatry

NPI 1174848568

300 N EUCLID ST SUITE A
Fullerton, CA 92832

(714) 888-6860

✔ PECOS0.3 mi

Gina Wilvang, D.P.M.

Podiatry

NPI 1407986995

18300 GRIDLEY RD SUITE 203
Artesia, CA 90701

(562) 402-2489

✔ PECOS✔ Accepts Medicare8.6 mi

Michael Bastani, DPM

Podiatry

NPI 1811379365

18124 CULVER DR STE F
Irvine, CA 92612

(949) 552-9393

✔ PECOS16 mi

Neringa Kunigonis, DPM

Podiatry

NPI 1437532827

15216 VANOWEN ST # 1A
Van Nuys, CA 91405

(818) 785-7875

✔ PECOS✔ Accepts Medicare37 mi

Trevor Takeyama, DPM

Podiatry

NPI 1780253450

2100 SOLAR DR STE 102
Oxnard, CA 93036

(805) 988-3338

✔ PECOS✔ Accepts Medicare73 mi

Daphne Yen-Douangmala, DPM

Podiatry

NPI 1902117575

975 SERENO DR
Vallejo, CA 94589

(847) 687-1411

✔ PECOS✔ Accepts Medicare380 mi

Laura Tolentino, DPM

Podiatry

NPI 1588125512

17115 RED OAK DR STE 201B
Houston, TX 77090

(346) 202-4236

✔ PECOS✔ Accepts Medicare1,345 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 Orange County Foot And Ankle Group, Inc.'s NPI number?

The NPI number for Orange County Foot And Ankle Group, Inc. is 1639102833. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Orange County Foot And Ankle Group, Inc. located?

Orange County Foot And Ankle Group, Inc. is located at 300 N Euclid St Suite A, Fullerton, CA 92832. The listed phone number is (714) 888-6860.

What is Orange County Foot And Ankle Group, Inc.'s specialty?

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

Is Orange County Foot And Ankle Group, Inc. enrolled in Medicare?

Yes. Orange County Foot And Ankle Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orange County Foot And Ankle Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Podiatry, reassign their Medicare billing to Orange County Foot And Ankle Group, 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. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orange County Foot And Ankle Group, Inc. was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.