Organization Active NPI

Coastal Foot Care Services, Inc

  • Foot & Ankle Surgery Podiatrist
  • Camarillo, CA
National Provider Identifier
1346496056
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4616 Issued in CA
Legal business name
COASTAL FOOT CARE SERVICES, INC
Practice address
3901 Las Posas Rd
Suite #9
Camarillo, CA 93010-1501
Phone
(805) 531-1089
Fax
(808) 531-5489
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dr. Mitchell Glodowski, DPMNPI 1689602237
Title
Preisent/Owner
Phone
(805) 531-1089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X E4616 CA
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X E4616 CA Primary

Addresses

Primary practice location

3901 Las Posas Rd
Suite #9
Camarillo, CA 93010-1501

Mailing address

3901 Las Posas Rd
Suite #9
Camarillo, CA 93010-1501
Phone (805) 531-1089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081222000403 CA Part B Supplier - Clinic/Group Practice 2961560420 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA; Oxnard, CA; Ventura, CA
O20181010000979 CA DME Supplier - Physician - Podiatry 2961560420 Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

1600 N Rose Ave
#420
Oxnard, CA 93030
Phone (805) 531-5489

111 N Wells Rd
Ventura, CA 93004
Phone (805) 647-0616

95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300

Interoperability endpoints

  • Direct secure messaging: mitchellglodowski@cofc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1346496056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE #9",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-531-1089",
            "fax_number": "808-531-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE #9",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-531-1089",
            "fax_number": "808-531-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "GLODOWSKI",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PREISENT/OWNER",
        "authorized_official_telephone_number": "805-531-1089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4616",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.