NPIMap

Organization Active NPI

San Bernardino Foot and Wound

  • Foot Surgery Podiatrist
  • Fontana, CA
National Provider Identifier
1821710559
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
SAN BERNARDINO FOOT AND WOUND
Practice address
7426 Cherry Ave Ste 210-123
Fontana, CA 92336-4221
Phone
(909) 601-7193
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Norris Donald Morrison Sr.
Title
DPM
Phone
(951) 479-2915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

7426 Cherry Ave Ste 210-123
Fontana, CA 92336-4221

Mailing address

7426 Cherry Ave Ste 210-123
Fontana, CA 92336-4221
Phone (909) 601-7193

Other names 1

  • SAN BERNARDO FOOT AND WOUND Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1821710559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 CHERRY AVE STE 210-123",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364221",
            "telephone_number": "909-601-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 CHERRY AVE STE 210-123",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364221",
            "telephone_number": "909-601-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO FOOT AND WOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "951-479-2915",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN BERNARDO FOOT AND WOUND",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SAN BERNARDO FOOT AND WOUND",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.