| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1285080978 | PACIFIC COAST PODIATRY PC | 1762 N WATERMAN AVE | SAN BERNARDINO | CA | 924045130 | |||
| 1972883536 | MOELLMER, INC. | 1762 N WATERMAN AVE | SAN BERNARDINO | CA | 924045130 | |||
| 1003141318 | JOHNSEN | CLAYTON | GARY | 1762 N WATERMAN AVE | SAN BERNARDINO | CA | 924045130 |