Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan L. Berghout

Organization Foot & Ankle Surgery Podiatrist · NPI 1962566703

Bryan L. Berghout is a Foot & Ankle Surgery Podiatrist in San Clemente, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

629 Camino De Los Mares Ste 207
San Clemente, CA 92673-2832
Phone: (949) 433-5262
Fax: (425) 225-5458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E4205 (CA)

Record details

NPI number1962566703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Berghout — Owner · (949) 433-5262
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3600 158th Pl Se, Bothell, WA 98012-4750

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