Foot Restore Podiatry, PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

FOOT RESTORE PODIATRY, PC

Practice address

11769 Mount Gunnison CT
Rancho Cucamonga, CA 91737-7918

Phone

(909) 702-3422

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Katz, DPMNPI 1942696380

Title

Podiatrist, Chief Executive Officer

Phone

(909) 702-3422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Bryan Katz

  • Podiatrist
  • Alta Loma, CA
  • NPI 1942696380

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Richard D Hilleman, DC

  • Chiropractor
  • Fontana, CA
  • NPI 1184799017
  NPD (past)

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1497644009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11769 MOUNT GUNNISON CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917377918",
            "telephone_number": "909-702-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11769 MOUNT GUNNISON CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917377918",
            "telephone_number": "909-702-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT RESTORE PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PODIATRIST, CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-702-3422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Fodor
• Shelby Fonda
• Fontana Mental Health Alliance LLC
• Michalle Fontanel
• Quynh-Mai Foord
• Foothill Healthcare Management Group, Inc
• Dawn Forbes, CCC-SLP
• Sandra Kay Force-Obrowski, M.D.
• Jasmine Ford
• Richard L Ford, D.C.

• Podiatric Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.