SAN BERNARDINO FOOT AND WOUND
NPI 1821710559
Podiatrist - Foot Surgery in Fontana, CA

NPI Status: Active since September 19, 2022

Contact Information

7426 CHERRY AVE STE 210-123
FONTANA, CA
ZIP 92336
Phone: (909) 601-7193

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  • Organization
  • Podiatrist
  • Foot Surgery
  • CLIA Number: 05D2087594
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-30-2026

About SAN BERNARDINO FOOT AND WOUND

This page provides the complete NPI Profile along with additional information for San Bernardino Foot And Wound, a provider established in Fontana, California operating as a Podiatrist, focusing in foot surgery . The healthcare provider is registered in the NPI registry with number 1821710559 assigned on September 2022. The practitioner's primary taxonomy code is 213ES0131X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is San Bernardo Foot And Wound. The authorized official of this NPI record is Norris Donald Morrison Sr. (Dpm)

NPI
1821710559
Provider Legal Name
SAN BERNARDINO FOOT AND WOUND
Other Organization Name
SAN BERNARDO FOOT AND WOUND
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
7426 CHERRY AVE STE 210-123 FONTANA, CA 92336
Location Phone
(909) 601-7193
Mailing Address
7426 CHERRY AVE STE 210-123 FONTANA, CA 92336
Mailing Phone
(909) 601-7193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2022
Last Update Date
10-04-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot Surgery

Taxonomy Code
213ES0131X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NORRIS DONALD MORRISON SR.

Authorized Official Title
DPM
Authorized Official Phone
(951) 479-2915

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2087594
Facility Type
Physician Office
Certificate Effective Date
December 01, 2024
Certificate Expiration Date
November 30, 2026
Laboratory Director
DONNA R. THOMPSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Bernardino Foot And Wound to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821710559, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 1 + 4 + 1 + 0 + 5 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1821710559.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
7426 CHERRY AVE STE 210-123
FONTANA, CA 92336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821710559, enumerated as an "organization" on September 19, 2022.

The provider is located at 7426 CHERRY AVE STE 210-123 FONTANA, CA 92336 and the phone number is (909) 601-7193.

Podiatrist with taxonomy code 213ES0131X and a focus in Foot Surgery.