High Desert Foot & Ankle Clinic a
NPI 1104204775 · Foot & Ankle Surgery Podiatrist · Victorville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
High Desert Foot & Ankle Clinic a is a Foot & Ankle Surgery Podiatrist organization in Victorville, CA (NPI 1104204775).
Provider details
- NPI number
- 1104204775
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Wonsik Bollmann, Owner/Podiatrist(760) 951-1234
- License
- E3966 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Frequently asked questions
- What is High Desert Foot & Ankle Clinic a's NPI number?
- High Desert Foot & Ankle Clinic a's National Provider Identifier (NPI) is 1104204775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is High Desert Foot & Ankle Clinic a?
- High Desert Foot & Ankle Clinic a is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is High Desert Foot & Ankle Clinic a located?
- High Desert Foot & Ankle Clinic a's practice location on file with NPPES is 15366 11th St, Victorville, CA 92395-3726.
- What is High Desert Foot & Ankle Clinic a's phone number?
- The practice phone number listed in the NPPES registry for High Desert Foot & Ankle Clinic a is (760) 951-1234.
- Does High Desert Foot & Ankle Clinic a accept Medicare?
- High Desert Foot & Ankle Clinic a is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for High Desert Foot & Ankle Clinic a?
- The authorized official listed on High Desert Foot & Ankle Clinic a's NPPES record is Wonsik Bollmann, Owner/Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is High Desert Foot & Ankle Clinic a's NPI active?
- Yes — High Desert Foot & Ankle Clinic a's NPI (1104204775) is active in the NPPES registry as of the last update on 2024-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.