William Clark Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

WILLIAM CLARK PODIATRY PC

Practice address

590 S Magnolia Ave
El Cajon, CA 92020-6011

Phone

(619) 442-1987

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. William Clark, DPMNPI 1265888937

Title

Owner

Phone

(252) 801-7686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• William Clark, DPM

  • Foot & Ankle Surgery Podiatrist
  • National City, CA
  • NPI 1265888937
  Medicare reassignment Authorized official
• Ummi Clark, CMT, CLC, CSC

  • Massage Therapist
  • Escondido, CA
  • NPI 1447640289
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1801653597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 889647",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206011",
            "telephone_number": "619-442-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CLARK PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-801-7686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Wildrom
• James Wiley
• Kimberlie Suzanne Wilkerson
• Shakira Alexandria Wilkerson
• John E Wilkie, LCSW
• William Davis MD Inc
• William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc
• Connie S Williams
• John A Williams, RPH
• Kathryn Williams

• Foot & Ankle Surgery Podiatrist in El Cajon, CA
• Providers in El Cajon, 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 Feb 29, 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.