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

Dr. Clayton Gary Johnsen, DPM

Individual provider Podiatrist · NPI 1003141318

Dr. Clayton Gary Johnsen, DPM is a Podiatry in San Bernardino, California. Graduated from New York College of Podiatric Medicine in 2007, 19 years ago. Practices with Pacific Coast Podiatry PC, a 4-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
19
Trained at
New York College of Podiatric Medicine
Licensed in
CA, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO60139080 (WA)
Podiatrist Taxonomy 213E00000X · Licence E4834 (CA)

Record details

NPI number1003141318
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 5, 2009
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2007 (19 years in practice)
Group practice Pacific Coast Podiatry Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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