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

Pacific Coast Podiatry PC

Organization Preferred Provider Organization · NPI 1285080978

Pacific Coast Podiatry PC is a Preferred Provider Organization in San Bernardino, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1762 N Waterman Ave
San Bernardino, CA 92404-5130
Phone: (909) 886-3668
Fax: (909) 886-5542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 657 Camino De Los Mares Ste 133, San Clemente, CA 92673-2810 — (909) 886-3668

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence E4834 (CA)

Record details

NPI number1285080978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clayton Johnsen — Owner · (909) 886-3668
NPI enumeratedMay 11, 2016
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address1762 N Waterman Ave, San Bernardino, CA 92404-5130

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