PACIFIC COAST PODIATRY PC
PACIFIC COAST PODIATRY PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1285080978, based in San Bernardino, CA. It is classified under Preferred Provider Organization.
Getting there
The practice address on file is 1762 N WATERMAN AVE, San Bernardino, CA 92404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| E4834 | CA | Preferred Provider Organization primary |
This provider holds licence E4834 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6204122997
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | O20160906002655 | Part B Supplier - Clinic/group Practice |
| California | O20170711000096 | Dme Supplier - Physician - Podiatry |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Preferred Provider Organization covers
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NUCC Health Care Provider Taxonomy, code 305R00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1285080978 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 11, 2016 |
| Last updated | Jun 20, 2022 |
| Status | Active |
| Practice address |
1762 N WATERMAN AVE San Bernardino, CA 92404 (909) 886-3668 Fax (909) 886-5542 |
| Other identifiers |
1285080978
· Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 0 | 8 | 0 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 0 | 8 | 0 | 9 | 5 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.