WILLIAM CLARK PODIATRY PC
NPI 1801653597
Podiatrist - Foot & Ankle Surgery in El Cajon, CA

Active since February 29, 2024
590 S MAGNOLIA AVE, EL CAJON, CA 92020(619) 442-1987 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William Clark Podiatry Pc NPPES

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

WILLIAM CLARK PODIATRY PC (NPI 1801653597) is a healthcare organization registered as a foot & ankle surgery in El Cajon, California and active in the NPI registry since February 2024. The organization lists William Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1801653597
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWILLIAM CLARK PODIATRY PC
Location Address590 S MAGNOLIA AVEEl Cajon, CA 92020-6011
Mailing Address8605 Santa Monica Blvd # 889647West Hollywood, CA 90069-4109
Organization SubpartNo
Authorized OfficialWilliam ClarkOwner · (252) 801-7686
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1801653597 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
590 S MAGNOLIA AVE, El Cajon, CA 92020

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)

William Clark 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 William Clark Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1265888937
2345 E 8TH ST STE 105
National City, CA 91950
(858) 275-6320
✔ PECOS✔ Accepts Medicare10 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 William Clark Podiatry PC's NPI number?

The NPI number for William Clark Podiatry PC is 1801653597. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is William Clark Podiatry PC located?

William Clark Podiatry PC is located at 590 S Magnolia Ave, El Cajon, CA 92020. The listed phone number is (619) 442-1987.

What is William Clark Podiatry PC's specialty?

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

Is William Clark Podiatry PC enrolled in Medicare?

Yes. William Clark Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William Clark Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to William Clark 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 William Clark Podiatry PC was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.