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 1376202986

Providence Podiatry Care, Inc is a Foot & Ankle Surgery Podiatrist in San Bernardino, 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

473 E Carnegie Dr Ste 200
San Bernardino, CA 92408
Phone: (909) 244-7430
Fax: (909) 495-1380
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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 number1376202986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eddie Avila — Secretary/Treasuer · (909) 244-7430
NPI enumeratedDecember 10, 2021
Last updated in NPPESJune 21, 2023
Certification dateJune 7, 2023
Mailing address473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408

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