High Desert Foot & Ankle Clinic a

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3966 Issued in CA

Legal business name

HIGH DESERT FOOT & ANKLE CLINIC A

Practice address

15366 11TH St
Suite a
Victorville, CA 92395-3726

Phone

(760) 951-1234

Fax

(760) 951-1611

NPI assigned

May 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wonsik Y Bollmann, DPMNPI 1578556742

Title

Owner/Podiatrist

Phone

(760) 951-1234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wonsik Y Bollmann, D.P.M

  • Podiatrist
  • Victorville, CA
  • NPI 1578556742
  Medicare reassignment Care Compare group Authorized official
• James K Jung, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Victorville, CA
  • NPI 1649224999
  Medicare reassignment Care Compare group NPD
• Sean Seung Joo Choi, D.P.M., M.D.

  • Foot & Ankle Surgery Podiatrist
  • Victorville, CA
  • NPI 1790868545
  Medicare reassignment Care Compare group
• Dana Day, DPM

  • Foot Surgery Podiatrist
  • Chino, CA
  • NPI 1083109847
  Medicare reassignment Care Compare group
• Bryan Katz

  • Podiatrist
  • Alta Loma, CA
  • NPI 1942696380
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1104204775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15366 11TH ST",
            "address_2": "SUITE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-951-1234",
            "fax_number": "760-951-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 11TH ST",
            "address_2": "SUITE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-951-1234",
            "fax_number": "760-951-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT FOOT & ANKLE CLINIC A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BOLLMANN",
        "authorized_official_first_name": "WONSIK",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "760-951-1234",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Desert Angels Incorporpated
• High Desert Center
• High Desert Center, Inc
• High Desert Child Adolescent and Family Services Center, Inc.
• High Desert Child, Adolescent and Family Services Center , Inc.
• High Desert General Surgery, PC
• High Desert Haven, Inc
• High Desert Heart Institute Medical Corporation
• High Desert Heart Vascular Institute, a California Professional Corp
• High Desert Hospice Services, Inc.

• Foot & Ankle Surgery Podiatrist in Victorville, CA
• Providers in Victorville, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.