Providence Podiatry Care, Inc
NPI 1376202986 · Foot & Ankle Surgery Podiatrist · San Bernardino, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Podiatry Care, Inc is a Foot & Ankle Surgery Podiatrist organization in San Bernardino, CA (NPI 1376202986).
Provider details
- NPI number
- 1376202986
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Eddie Avila, Secretary/Treasuer(909) 244-7430
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
4 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
- 2021-12-10
- Last updated
- 2023-06-21
- Certified
- 2023-06-07
Frequently asked questions
- What is Providence Podiatry Care, Inc's NPI number?
- Providence Podiatry Care, Inc's National Provider Identifier (NPI) is 1376202986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Podiatry Care, Inc?
- Providence Podiatry Care, Inc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Providence Podiatry Care, Inc located?
- Providence Podiatry Care, Inc's practice location on file with NPPES is 473 E Carnegie Drive, San Bernardino, CA 92408.
- What is Providence Podiatry Care, Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Podiatry Care, Inc is (909) 244-7430.
- Does Providence Podiatry Care, Inc accept Medicare?
- Providence Podiatry Care, Inc 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 Providence Podiatry Care, Inc?
- The authorized official listed on Providence Podiatry Care, Inc's NPPES record is Eddie Avila, Secretary/Treasuer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Podiatry Care, Inc's NPI active?
- Yes — Providence Podiatry Care, Inc's NPI (1376202986) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.