Unknown Individual – Podiatrist, NPI 1700896529
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
15030, 7th Street, Victorville, San Bernardino County, California, 92395, United States
VICTORVILLE, CA 923953811
Phone: (760) 951-0065
Fax: (760) 951-5382
Type: Location
2150 N Waterman Ave Ste 300
San Bernardino, CA 924044811
Phone: (760) 951-0065
Fax: (760) 951-5382
Type: Location
3616 E 1st St
Los Angeles, CA 900632326
Phone: (323) 264-6157
Fax: (323) 264-0099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $164.
Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.
Last reported payment date: 2023-09-07 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($113).
Total Amount
$164
General + Research + Ownership
Payments
5
Total payment records
General Amount
$164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $113 |
| TREACE MEDICAL CONCEPTS, INC. | $31 |
| Integra LifeSciences Corporation | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 527 | 73 | $0 |
| 97610 | Therapy procedure using ultrasound | 293 | 18 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 70 | 16 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 42 | 28 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 34 | 26 | $0 |
Insurance plans in this area (ZIP 92395)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| - | CA | |
| - | CA |
Reviews
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