Individual provider Active NPI

Erin N Vogtman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Bernardino, CA
National Provider Identifier
1982923306
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4905 Issued in CA
Practice address
1762 N Waterman Ave Ste B
San Bernardino, CA 92404-5130
Phone
(909) 886-3668
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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 E4905 CA Primary

Addresses

Primary practice location

1762 N Waterman Ave Ste B
San Bernardino, CA 92404-5130

Mailing address

511 E Avenida San Juan
San Clemente, CA 92672-2331
Phone (949) 500-9208

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
I20140520000261 CA Practitioner - Podiatry 6406027424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Podiatry PCGroup PAC ID 6204122997, 4 clinicians
Jeffrey Demian IncGroup PAC ID 4880944339, 27 clinicians

Practice addresses (Care Compare)

1762 N Waterman Ave
San Bernardino, CA 92404-5130
Phone (909) 886-3668

7612 Adwen St
Downey, CA 90241-4419
Phone (562) 291-1994

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue731
Removal or shaving of skin growth480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4905CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Demian Inc Foot & Ankle Surgery CurrentSince Nov 25, 2024 Accepting new patients
Home Foot Care, Inc. PastSince Jul 1, 2018 Accepting new patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery PastSince Sep 13, 2020 Accepting new patients
Memorialcare Medical Foundation Past Accepting new patients
Torrey Hills Surgical Specialties Foot & Ankle Surgery PastSince Aug 8, 2024 Accepting new patients

Locations

17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1982923306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E AVENIDA SAN JUAN",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722331",
            "telephone_number": "949-500-9208",
            "fax_number": "949-612-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 N WATERMAN AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045130",
            "telephone_number": "909-886-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGTMAN",
        "first_name": "ERIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.