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

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: August 02, 2026.

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
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

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

Other Providers at the Same Location NPPES

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

Podiatrist
1121 10TH ST
CORONADO, CA 92118

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.

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.