Organization · Type 2 NPI

S. Luke Berthelsen Dpm, Inc

Foot & Ankle Surgery Podiatrist · Vista, CA

NPI number 1821598004 Active

Practice location

2067 W Vista Way Ste 265
Vista, CA 92083-6034

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	E5190 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

Another provider at this address

Nicklaus NishijimaFoot & Ankle Surgery Podiatrist Vista, CA NPI 1144896234

NPI record

NPI: 1821598004
Entity type: Organization (Type 2)
Issued: Feb 14, 2018
Last updated: Oct 25, 2018
Status: Active

Other names

<unavail>
Foundation Foot & Ankle · doing business as
Foundation Foot & Ankle · doing business as

Authorized official

Dr. Steven Luke Berthelsen, DPM
President
(760) 463-9155

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1821598004

S. Luke Berthelsen Dpm, Inc's National Provider Identifier is 1821598004, issued on Feb 14, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Vista, CA. The record was last updated on Oct 25, 2018.