Dr. Clayton Gary Johnsen is a San Bernardino, California based male podiatrist with 17 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Clayton Gary Johnsen for Podiatric Foot & Ankle Surgery is PO60139080 in Washington. Dr. Clayton Gary Johnsen is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Clayton Gary Johnsen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
17+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1762 N Waterman Ave, San Bernardino, California, 92404-5130
Phone:
909-886-3668
Fax:
909-886-5542
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1759512353
Enrollment ID:
I20140501002283
NPI Number:
1003141318
NPI Enumeration Date:
05 Oct, 2009
NPI Last Update On:
20 Jun, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Clayton Gary Johnsen are as mentioned below.
License Number
Specialization
State
Status
PO60139080
Podiatric Foot & Ankle Surgery
Washington
Primary
E4834
Podiatry
California
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Clayton Gary Johnsen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pacific Coast Podiatry Pc (6204122997)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Clayton Gary Johnsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CB220721
Other
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1762 N Waterman Ave, San Bernardino, California
Zip:
92404-5130
Phone Number:
909-886-3668
Fax Number:
909-886-5542
Patients can reach Dr. Clayton Gary Johnsen at 1762 N Waterman Ave, San Bernardino, California or can call to book an appointment on 909-886-3668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.