| Pinnacle Wound Care | |
|
934 Rio Lindo, San Clemente, CA 92672-7200 | |
| (480) 766-3866 | |
| Not Available |
| Full Name | Pinnacle Wound Care |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 934 Rio Lindo, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275368219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Scott W Crismon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679872725 PECOS PAC ID: 8426286386 Enrollment ID: I20140122001987 |
| Provider Name | Marcus D Yetter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316350044 PECOS PAC ID: 3375869621 Enrollment ID: I20150303001788 |
| Provider Name | Audrey Lynn Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482064 PECOS PAC ID: 1254763535 Enrollment ID: I20191107002987 |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Wound Care 934 Rio Lindo, San Clemente, CA 92672-7200 Ph: (480) 766-3866 | Pinnacle Wound Care 934 Rio Lindo, San Clemente, CA 92672-7200 Ph: (480) 766-3866 |
California Foot & Ankle Associates, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares, Suite 304, San Clemente, CA 92673 Phone: 949-493-8020 Fax: 949-488-0868 | |
Bryan L. Berghout, Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 629 Camino De Los Mares Ste 207, San Clemente, CA 92673 Phone: 949-433-5262 Fax: 425-225-5458 | |
Artisan Foot And Ankle Podiatric Specialists Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 655 Camino De Los Mares Ste 120, San Clemente, CA 92673 Phone: 949-493-0777 Fax: 949-831-4009 | |
Dr. Philip Andrew Radovic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 665 Camino De Los Mares, Suite 304, San Clemente, CA 92673 Phone: 949-493-8020 Fax: 949-488-0868 | |
Stanley K Mathis Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 211 Avenida Barcelona, San Clemente, CA 92672 Phone: 949-412-8445 Fax: 949-218-0022 | |
Bryan L. Berghout Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 629 Camino De Los Mares Ste 207, San Clemente, CA 92673 Phone: 949-433-5262 Fax: 425-225-5458 |