DR. WONSIK Y BOLLMANN (NPI# 1578556742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578556742 |
| Entity Type | Individual |
| Full Name | DR. WONSIK Y BOLLMANN |
| Credential | D.P.M |
| Practice Address |
15366 11th St Suite A Victorville CA 92395-3726 |
| Practice Telephone | 7609511234 |
| Practice Fax Number | 7609511611 |
| Mailing Telephone | 7609511234 |
| Mailing Fax Number | 7609511611 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-01-09 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3966 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E39660 | 05 |
| Street Address |
15366 11TH ST SUITE A |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104204775 | High Desert Foot & Ankle Clinic, A Professional Corporation | Podiatrist | 15366 11th St, Suite A, Victorville, CA 92395-3726 | 2015-05-14 |
| 1083965933 | Fahed D. Hattar Dental, Inc. | Dentist | 15366 11th St, Suite F, Victorville, CA 92395-3726 | 2012-10-01 |
| 1649593385 | Agc Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 15366 11th St, Suite C, Victorville, CA 92395-3726 | 2010-03-09 |
| 1336399252 | Jennifer Konior | Physician Assistant | 15366 11th St, Suite K, Victorville, CA 92395-3726 | 2008-09-27 |
| 1134379480 | Wonsik Bollmann | Podiatrist | 15366 11th St, Ste A, Victorville, CA 92395-3726 | 2008-09-23 |
| 1700035235 | Bradley Delmar Herrick | Specialist | 15366 11th St, Suite K, Victorville, CA 92395-3726 | 2008-09-09 |
| 1790953859 | Clibon Dental Corporation | Dentist | 15366 11th St, Suite G, Victorville, CA 92395-3726 | 2008-02-12 |
| 1356546147 | Dr's Hattar & Salman Dental | Dentist | 15366 11th St, Suite F, Victorville, CA 92395-3726 | 2007-06-20 |
| 1376685263 | Yvonne Telgt-mckinney, Md Inc. | Non-Pharmacy Dispensing Site | 15366 11th St, O, Victorville, CA 92395-3726 | 2007-02-14 |
| 1467598219 | Bonnie Inquinn Chi-lum | Preventive Medicine | 15366 11th St, Suite K, Victorville, CA 92395-3726 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861576142 | Michael Thomas Hickey | Podiatrist | 14400 Bear Valley Rd, Victorville, CA 92392-5470 | 2006-10-24 |
| 1700896529 | William F Mccarron | Podiatrist | 15030 7th St, Victorville, CA 92395-3811 | 2006-08-08 |
| 1134379480 | Wonsik Bollmann | Podiatrist | 15366 11th St, Ste A, Victorville, CA 92395-3726 | 2008-09-23 |
| 1710135900 | Bear Valley Clinica Familiar, Inc | Podiatrist | 15532 Bear Valley Rd, Victorville, CA 92395-9260 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.