FREMONT ARTIFICIAL LIMB & BRACE, INC. (NPI# 1053378802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053378802 |
| Entity Type | Organization |
| Organization Name | FREMONT ARTIFICIAL LIMB & BRACE, INC. |
| Practice Address |
1999 Mowry Ave Suite J Fremont CA 94538-1723 |
| Practice Telephone | 5107923475 |
| Practice Fax Number | 5107924864 |
| Mailing Telephone | 5107923475 |
| Mailing Fax Number | 5107924864 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | KENNETH ALLEN RASMUSSEN (PRESIDENT / CPO) |
| Authorized Official Telephone | 5107923475 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 004098 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000530 | 05 |
| Street Address |
1999 MOWRY AVE SUITE J |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144008 | Ismah Jawed | Physician Assistant | 1999 Mowry Ave, Suite F, Fremont, CA 94538-1738 | 2013-11-11 |
| 1891075016 | Express Lane Urgent Care Fremont, Inc | Clinic/Center | 1999 Mowry Ave, Suite L, Fremont, CA 94538-1738 | 2011-08-18 |
| 1033415237 | Vani Velkuru, Md Inc. | Internal Medicine | 1999 Mowry Ave, Suite 2 - I, Fremont, CA 94538-1738 | 2011-02-04 |
| 1619271582 | Radhai Ramesh | Pharmacist | 1999 Mowry Ave, Fremont, CA 94538-1738 | 2011-01-06 |
| 1205130127 | Sabi Basrai | Pharmacist | 1999 Mowry Ave, Fremont, CA 94538-1738 | 2011-01-06 |
| 1326342619 | Rolen Caleon Sese | Pharmacist | 1999 Mowry Ave, Suite 2a, Fremont, CA 94538-1738 | 2011-01-01 |
| 1922318609 | Sarah Ann Odom | Dietitian, Registered | 1999 Mowry Ave, Ste R, Fremont, CA 94538-1738 | 2010-10-15 |
| 1831329739 | Lunny, Ahn & Wong Mds | Specialist | 1999 Mowry Ave, Suite R, Fremont, CA 94538-1723 | 2009-07-26 |
| 1760652184 | Rao Sunkavally | Urology | 1999 Mowry Ave, Suite 2-d, Fremont, CA 94538-1738 | 2008-03-03 |
| 1811174428 | Vani Velkuru | Internal Medicine | 1999 Mowry Ave, Suite 2 - I, Fremont, CA 94538-1738 | 2008-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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. |
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|---|---|---|---|---|
| 1679976393 | Norell Prosthetics Orthotics Inc. | Prosthetic/Orthotic Supplier | 48521 Warm Springs Blvd Ste 305, Fremont, CA 94539-8380 | 2014-10-08 |
| 1487927059 | Sending Rainbows | Prosthetic/Orthotic Supplier | 2596 Fox Run, Fremont, NE 68025-7973 | 2012-02-13 |
| 1780934083 | Florence Footworks, Inc. | Prosthetic/Orthotic Supplier | 640 E 22nd St, Suite A, Fremont, NE 68025-2672 | 2012-09-13 |
| 1164798377 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 1442 E State St, Fremont, OH 43420-4061 | 2012-04-02 |
| 1417126780 | Wnc Medical Supply LLC | Prosthetic/Orthotic Supplier | 3705 Beacon Ave Ste 200, Fremont, CA 94538-1467 | 2008-02-20 |
| 1073794590 | Ohio Orthopedic Services | Prosthetic/Orthotic Supplier | 1442 E State St, Fremont, OH 43420-4061 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696592 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 | 2020-10-14 |
| 1871191742 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 | 2020-10-13 |
| 1740887462 | A-z Consulting O & P Services | Prosthetic/Orthotic Supplier | 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 | 2020-10-06 |
| 1255938452 | Sheek Hair Boutique | Prosthetic/Orthotic Supplier | 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 | 2020-10-01 |
| 1922615368 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 | 2020-09-29 |
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1225640220 | Christopher Holloway | Prosthetic/Orthotic Supplier | 4517 Market St Ste 4, Ventura, CA 93003-7841 | 2020-08-20 |
| 1407468416 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 | 2020-08-20 |
| 1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
| 1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
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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.