Pinnacle Wound Care

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PINNACLE WOUND CARE

Practice address

934 Rio Lindo
San Clemente, CA 92672-7200

Phone

(480) 766-3866

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Marcus Yetter, DPMNPI 1316350044

Title

Co-Owner

Phone

(480) 390-8436

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcus D Yetter, DPM

  • Podiatrist
  • Laguna Beach, CA
  • NPI 1316350044
  Medicare reassignment Care Compare group NPD Authorized official
• Scott Crismon, D.P.M.

  • Sports Medicine Podiatrist
  • Los Angeles, CA
  • NPI 1679872725
  Medicare reassignment Care Compare group NPD
• Audrey Lynn Johnston, NP

  • Nurse Practitioner
  • Orange, CA
  • NPI 1205482064
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1275368219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 RIO LINDO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727200",
            "telephone_number": "480-766-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 RIO LINDO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727200",
            "telephone_number": "480-766-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "YETTER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-390-8436",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emelia Rose Piccininni, OTD, OTR/L
• Jay Pichika
• Ashton Pickle, DPT
• Kenneth B. Pierce, D.O.
• Juliette Carol Louise Pineda, LMFT
• Pioneer Orthotics and Prosthetics
• Amir Pirouzian, M.D.
• Macee Elizabeth Pittman
• Savannah Pittman
• Josie Plummer

• Podiatrist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.