PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC (NPI# 1043613821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043613821 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC |
| Practice Address |
909 S Fair Oaks Ave Pasadena CA 91105-2625 |
| Mailing Address |
Po Box 865109 Orlando FL 32886-5109 |
| Practice Telephone | 6263899411 |
| Mailing Telephone | 8446023960 |
| Mailing Fax Number | 8132818461 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | JOANNE LYNN KANAS (DIRECTOR) |
| Authorized Official Telephone | 8132817184 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 930000150 | CA | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3160 Geneva St, Los Angeles, CA 900201117 | 2133683374 | 2136393454 |
| Street Address |
909 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659585834 | Aids Service Center | Case Management | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2007-05-09 |
| 1396385795 | Daniel Michael Reyes | Orthotist | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2020-01-14 |
| 1720628142 | Denis Jordan | Prosthetist | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2020-01-14 |
| 1194376129 | Cassie Mireya Rodriguez-feo | Physician Assistant | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2019-09-20 |
| 1144792193 | Alonzo Rafael Hidalgo | Occupational Therapist | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2018-12-31 |
| 1821587544 | Shriners Hospitals for Children | Anesthesiology | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2018-05-08 |
| 1326578220 | Lee Wong | Orthotist | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2017-06-14 |
| 1871043224 | Shriners Hospitals for Children | Orthopaedic Surgery | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2016-10-10 |
| 1174983811 | Vivian Yip | Rehabilitation Hospital | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2016-02-23 |
| 1215302344 | Natalie Wise-aguilar | Physical Therapist | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841616018 | Martin Luther Vocational Center, Inc | Prosthetic/Orthotic Supplier | 428 S Rosemead Blvd, Pasadena, CA 91107 | 2014-03-12 |
| 1245534510 | Aesthetic Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1095 N Allen Ave, Pasadena, CA 91104-3204 | 2010-12-30 |
| 1821203324 | Houston Premier Dme Inc | Prosthetic/Orthotic Supplier | 817 E. Southmore Ave, Suite 206, Pasadena, TX 77502-1130 | 2007-05-10 |
| 1558491480 | Yasuko Furuhashi | Prosthetic/Orthotic Supplier | 999 E Colorado Bl, Pasadena, CA 91106-2325 | 2007-03-07 |
| 1437776754 | Newme Bionics, LLC | Prosthetic/Orthotic Supplier | 4135 Spencer Hwy, Pasadena, TX 77504-1209 | 2020-07-02 |
| 1104370162 | Select Physical Therapy Texas Limited Partnership | Prosthetic/Orthotic Supplier | 4500 E Sam Houston Pkwy S, Suite 215, Pasadena, TX 77505-3959 | 2016-08-08 |
| 1750784294 | Orthopedic Physicians of Annapolis,llc | Prosthetic/Orthotic Supplier | 8109 Ritchie Hwy, Ste 200, Pasadena, MD 21122-6917 | 2014-09-29 |
| 1588996706 | Medleader LLC | Prosthetic/Orthotic Supplier | 5010 Crenshaw Rd, Ste. #130, Pasadena, TX 77505-3047 | 2010-02-13 |
| 1205003563 | Stellar Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 753 S Arroyo Pkwy, Suite 2, Pasadena, CA 91105-3902 | 2008-05-14 |
| 1588842330 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 200 E Del Mar Blvd, Suite 104, Pasadena, CA 91105-2544 | 2008-02-04 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC.
| 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.