CORONADO FOOT SPECIALISTS PODIATRY CLINIC INC
NPI 1639399371
Podiatrist - Foot Surgery in Coronado, CA

Q: What is Coronado Foot Specialists Podiatry Clinic Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Active since April 26, 2007

1121 10TH ST, CORONADO, CA 92118(619) 435-0151(619) 435-9316 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Coronado Foot Specialists Podiatry Clinic Inc NPPES

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

CORONADO FOOT SPECIALISTS PODIATRY CLINIC INC (NPI 1639399371) is a healthcare organization registered as a foot surgery in Coronado, California and active in the NPI registry since April 2007. The organization lists Bruce Alan Manchel, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1639399371

Entity TypeOrganization

Primary Taxonomy213ES0131X

Legal Business NameCORONADO FOOT SPECIALISTS PODIATRY CLINIC INC

Location Address1121 10TH STCoronado, CA 92118-3401

Mailing Address1121 10th StCoronado, CA 92118-3401 · (619) 435-0151

Phone(619) 435-0151

Fax(619) 435-9316

Organization SubpartNo

Authorized OfficialBruce Alan ManchelPodiatrist · (619) 435-0151

Enumeration DateApril 26, 2007

Last NPPES UpdateMay 12, 2014

✔ NPI 1639399371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in CA · E2930

1121 10TH ST, Coronado, CA 92118

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Other Identifiers 3

Medicare UPINW15915CA

Medicare NSC0432910001CA

Medicare PINWE10040CA

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)

Coronado Foot Specialists Podiatry 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 Coronado Foot Specialists Podiatry Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Manchel, D.P.M.

Podiatry

NPI 1790890788

1121 10TH ST
Coronado, CA 92118

(619) 435-0151

✔ PECOS✔ Accepts MedicareSame address

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 Coronado Foot Specialists Podiatry Clinic Inc's NPI number?

The NPI number for Coronado Foot Specialists Podiatry Clinic Inc is 1639399371. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Coronado Foot Specialists Podiatry Clinic Inc located?

Coronado Foot Specialists Podiatry Clinic Inc is located at 1121 10th St, Coronado, CA 92118. The listed phone number is (619) 435-0151.

What is Coronado Foot Specialists Podiatry Clinic Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Coronado Foot Specialists Podiatry Clinic Inc enrolled in Medicare?

Yes. Coronado Foot Specialists Podiatry Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coronado Foot Specialists Podiatry Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Coronado Foot Specialists Podiatry 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 Coronado Foot Specialists Podiatry Clinic Inc was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.