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

Providence Podiatry Care, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1033881735

Providence Podiatry Care, Inc is a Foot & Ankle Surgery Podiatrist in Rancho Cucamonga, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10621 Church St Ste 120
Rancho Cucamonga, CA 91730-6834
Phone: (909) 944-0481
Fax: (909) 944-3161
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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

Record details

NPI number1033881735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eddie Avila — Owner/Administrator · (909) 944-0486
Other names Providence Podiaty Care, Inc
NPI enumeratedSeptember 30, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6834

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