PROSTHETIC & ORTHOTIC GROUP, INC (NPI# 1073569554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073569554 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC & ORTHOTIC GROUP, INC |
| Practice Address |
2669 Myrtle Ave Ste 101 Signal Hill CA 90755 |
| Mailing Address |
2669 Myrtle Ave Ste 101 Signal Hill CA 90755-2745 |
| Practice Telephone | 5625956445 |
| Practice Fax Number | 5624243122 |
| Mailing Telephone | 5625956445 |
| Mailing Fax Number | 5624243122 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | MRS. SONIA MARLOW (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 5625956445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205353463 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 3510 Torrance Blvd Ste 110, Torrance, CA 90503-4824 | 2017-08-28 |
| 1497893788 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 12200 Washington Blvd Ste M, Whittier, CA 90606-2579 | 2007-02-01 |
| Street Address |
2669 MYRTLE AVE STE 101 |
| City | SIGNAL HILL |
| State | CA |
| Zip Code | 90755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942586631 | Glenn R Matsushima | Orthotist | 2669 Myrtle Ave, Suite 101, Signal Hill, CA 90755-2745 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267136 | Esther Guerrero De Shepphard | Occupational Therapy Assistant | 2726 E Wall Street, Signal Hill, CA 90755 | 2018-09-01 |
| 1285150565 | Tricia Amantia | Counselor | 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 | 2017-08-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
| 1730228354 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1600 E. Hill St, Signal Hill, CA 90755 | 2007-02-06 |
| 1518039726 | Ayman Aljabban Dental Corporation | Dentist | 1830 E Willow St, Signal Hill, CA 90755 | 2006-11-14 |
| 1164532768 | Costco Wholesale Corporation | Pharmacy | 2200 E Willow St, Signal Hill, CA 90755 | 2006-08-30 |
| 1578510624 | Long Beach Memorial Medical Center | Home Health | 695 E 27th St, Long Beach, CA 90755 | 2006-05-27 |
| 1619416898 | Carrie Hoopfer | Pharmacist | 845 East Willow Street, Signal Hill, CA 90755 | 2017-02-21 |
| 1063954287 | Sarah Shimanek | Physical Therapist | 2599 E 28th St Ste 206, Long Beach, CA 90755 | 2016-11-07 |
| Find all providers in zip 90755 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SIGNAL HILL |
| Zip Code | 90755 |
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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.