IndividualActive
Clayton Johnsen, D.P.M.
NPI 1003141318 · Foot & Ankle Surgery Podiatrist · San Bernardino, CA
Provider details
- NPI number
- 1003141318
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- E4834 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1762 N Waterman Ave
San Bernardino, CA 92404-5130
Phone: (909) 886-3668
Fax: (909) 886-5542
Approximate (ZIP-level) locationGet directions
Mailing address
1762 N Waterman Ave
San Bernardino, CA 92404-5130
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.