Wtfootcare, Professional Physician Assistant Corporation
NPI 1841818747ActiveOrganization· Physician Assistant· Rancho Cucamonga, CA
Physician Assistant in Rancho Cucamonga, California, registered in NPPES in July 2020. The authorized official on file is Stephanie Clark-Poveda, PA, Pa. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841818747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2020 |
| Last updated in NPPES | Jul 28, 2020 |
| Certified by provider | Jul 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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