Dr. Clayton Gary Johnsen
Podiatrist Foot & Ankle Surgery
1762 N Waterman Ave
San Bernardino
, California 92404-5130
Dr. Clayton Gary Johnsen
Podiatrist Foot & Ankle Surgery
1762 N Waterman Ave
San Bernardino
, California 92404-5130
(909) 886-5542
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Clayton Gary Johnsen
- 1762 N Waterman Ave
- San Bernardino, CA
- Zip : 92404-5130
- Fax : (909) 886-5542
- Phone : (909) 886-3668
Second Address
- Dr. Clayton Gary Johnsen
- 1762 N Waterman Ave
- San Bernardino, CA
- Zip : 92404-5130
- Fax : (909) 886-5542
- Phone : (909) 886-3668
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FAQs
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What type of doctor is Dr. Clayton Gary Johnsen
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Where is Dr. Clayton Gary Johnsen ’s practice located?
What is Dr. Clayton Gary Johnsen ’s gender?
Is Dr. Clayton Gary Johnsen a sole practitioner?
Is Dr. Clayton Gary Johnsen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E4834 | CA |
| N | 222Z00000X | Podiatrist | E4834 | CA |
| Y | 213ES0103X | Foot & Ankle Surgery | PO60139080 | WA |
National Provider Identifier
| NPI | 1003141318 |
|---|---|
| Provider Name | Dr. Clayton Gary Johnsen |
| First Address | San Bernardino, CA 92404-5130 |
| Second Address | San Bernardino, CA 92404-5130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2009 |
| Last Update Date | 11/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CB220721 | MEDICARE PTAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.