Clayton G Johnsen (NPI# 1003141318, PAC ID# 1759512353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1003141318 |
| PAC ID by PECOS | 1759512353 |
| Professional Enrollment ID | I20140501002283 |
| Full Name | Clayton G Johnsen |
| Organization Legal Name | PACIFIC COAST PODIATRY PC |
| Address |
1762 N Waterman Ave San Bernardino CA 92404-5130 |
| Phone Number | 9098863668 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6204122997 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1762 N Waterman Ave, San Bernardino, CA 92404-5130 | 9098863668 | PACIFIC COAST PODIATRY PC |
| Organization Legal Name | PACIFIC COAST PODIATRY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin N Vogtman | Podiatry | Pacific Coast Podiatry PC | 1762 N Waterman Ave, San Bernardino, CA 92404-5130 |
| Street Address |
1762 N WATERMAN AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92404-5130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin N Vogtman | Podiatry | Pacific Coast Podiatry PC | 1762 N Waterman Ave, San Bernardino, CA 92404-5130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine Sze Ho | Family Medicine | Unicare Community Health Center Inc | 184 -190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Mary Edem | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Renato G Rada | Family Medicine | Unicare Community Health Center Inc | 184 -190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Gloria E Morrow | Clinical Psychologist | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Yvonne C Medock | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Nathan B Williams | Family Medicine | Premier Urgent Care Centers of California Inc | 284 E Highland Ave, San Bernardino, CA 92404-3706 |
| Irene Donley Kimble | Obstetrics/gynecology | Woman To Woman Ob Gyn Medical Grp | 249 E Highland Ave, San Bernrdno, CA 92404-3707 |
| Robert D Parkinson | Physician Assistant | Dignity Health Medical Foundation | 401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3800 |
| Samir Ved Kubba | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Rajiv Malik | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Find all physicians in zip 92404 | |||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
| Specialty | PODIATRY |
| City + Specialty | SAN BERNARDINO + PODIATRY |
Please comment or provide details below to improve the information on Clayton G Johnsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.