Active NPI
Erin N Vogtman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- San Bernardino, CA
National Provider Identifier
1982923306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 731 |
| Removal or shaving of skin growth | 480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4905 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Demian Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Home Foot Care, Inc. | Past | Accepting new patients | |
| Michael D. Kotzen, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
| Memorialcare Medical Foundation | Past | Accepting new patients | |
| Torrey Hills Surgical Specialties | Foot & Ankle Surgery | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1306339759
-
- Preferred Provider Organization
- San Bernardino, CA
- NPI 1285080978
-
- Podiatrist
- Van Nuys, CA
- NPI 1447480785
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
-
- Foot & Ankle Surgery Podiatrist
- San Diego, CA
- NPI 1740409721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.