Footheals Podiatry Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E4125 Issued in CA

Legal business name

FOOTHEALS PODIATRY INC

Practice address

1520 N Mountain Ave Ste 122
Ontario, CA 91762-1132

Phone

(909) 623-4484

Fax

(909) 623-4485

NPI assigned

Oct 28, 2013

Last updated

Oct 28, 2013By 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

Dr. Michael Wach, D.P.M.

Title

President

Phone

(909) 623-4484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Clayton Gary Johnsen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Bernardino, CA
  • NPI 1003141318
  NPD (past)

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1982032140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE STE 122",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621132",
            "telephone_number": "909-623-4484",
            "fax_number": "909-623-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE STE 122",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621132",
            "telephone_number": "909-623-4484",
            "fax_number": "909-623-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHEALS PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "WACH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-623-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Fonseca
• Tristan Fontanilla
• Ashley Fonteno
• Courtney Foor, M.ED
• Foot Heel Ankle Podiatry Corporation
• For Your Glory LLC (Restorative Birthwork)
• Christall Ford
• Kamisha N Ford, LMFT
• Caitlin Marie Foreman
• Forever Ways Care

• Primary Podiatric Medicine Podiatrist in Ontario, CA
• Providers in Ontario, CA by specialty
• Primary Podiatric Medicine Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.