Individual provider Active NPI

Andrew George, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fontana, CA
National Provider Identifier
1790307007
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5880 Issued in CA
Practice address
16465 Sierra Lakes Pkwy Ste 240
Fontana, CA 92336-1242
Phone
(909) 427-9522
NPI assigned
May 8, 2020
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5880 CA Primary

Addresses

Primary practice location

16465 Sierra Lakes Pkwy Ste 240
Fontana, CA 92336-1242

Mailing address

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522003322 CA Practitioner - Podiatry 9032575774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 427-9522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue111
Removal or shaving of skin growth71
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5880CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare California, PC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Upperline Healthcare California PC Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients
Burbank Podiatry Asscociates Group a Professional Corporation Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Jessica Chong DPM MPH Inc Foot & Ankle Surgery Past Accepting new patients
CVS Medical Group, Inc Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
High Desert Limb Salvage Institute Podiatrist Corp Foot & Ankle Surgery PastSince Apr 17, 2025 Accepting new patients

Locations

241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561

15315 Fairfield Ranch Rd
Ste 220
Chino Hills, CA 91709
Phone (909) 789-1130

308 W 6th St
Ste 205
Corona, CA 92882
Phone (951) 417-4556

16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100

728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-5614

3600 Central Ave
Ste 4
Riverside, CA 92506
Phone (951) 355-2956

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: andrew.george.1@4399.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1790307007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 240",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242",
            "telephone_number": "909-427-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.