MR. NATHAN RYAN LEE (NPI# 1164612131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164612131 |
| Entity Type | Individual |
| Full Name | MR. NATHAN RYAN LEE |
| Credential | CPO |
| Practice Address |
810 E Chapman Ave Suite C Fullerton CA 92831-3850 |
| Practice Telephone | 7146260417 |
| Practice Fax Number | 7146260319 |
| Mailing Telephone | 7146260417 |
| Mailing Fax Number | 7146260319 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO 02709 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL RENDERING | XC0027090 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467815779 | Nathan Donald Lee | Specialist | 393 Woods Lake Rd, Greenville, SC 29607-2775 | 2016-04-04 |
| 1023279783 | Nathan Chulwon Lee | Dentist | 3611 Chain Bridge Rd Ste B, Fairfax, VA 22030-3246 | 2008-06-24 |
| 1881223915 | Nathan Hoyoon Lee | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-01 |
| 1033743307 | Nathan Andrew Lee | Physical Therapist | 641 W Thomas St, Milledgeville, GA 31061-2337 | 2020-02-26 |
| 1023571510 | Nathan Lee | Dentist | 536 E Manchester Ave, Los Angeles, CA 90003-3525 | 2019-04-10 |
| 1174028633 | Nathan John Lee | Student in an Organized Health Care Education/Training Program | 177 Fort Washington Ave, New York, NY 10032-3733 | 2018-03-27 |
| 1508374307 | Nathan Lee | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2018-01-15 |
| 1700291572 | Nathan Lee | Dentist | 12340 Se Sunnyside Rd, Clackamas, OR 97015-9320 | 2014-06-30 |
| 1437578416 | Nathan James Lee | Psychiatry & Neurology | 176 S Coldbrook Ave, Chambersburg, PA 17201-2712 | 2014-04-07 |
| 1467873133 | Nathan Lee | Counselor | 50 Shrader St, San Francisco, CA 94117-1015 | 2013-12-26 |
| Street Address |
810 E CHAPMAN AVE SUITE C |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790798049 | Chris A Mclean | Dentist | 810 E Chapman Ave, Fullerton, CA 92831-3808 | 2006-08-15 |
| 1891873006 | Limb Craft, Inc. | Prosthetic/Orthotic Supplier | 810 E Chapman Ave, Suite C, Fullerton, CA 92831-3850 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| 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 |
|---|---|---|---|---|
| 1750707055 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2151 N. Harbor Blvd., Suite 1200, Fullerton, CA 92835-3821 | 2014-03-11 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1578566816 | Sunny Hills Orthopedic Services Inc. | Prosthetic/Orthotic Supplier | 332 E Commonwealth Ave, Fullerton, CA 92832-2017 | 2005-05-31 |
| 1275180408 | Alcam Medical Inc | Prosthetic/Orthotic Supplier | 300 N Euclid St, Fullerton, CA 92832-1623 | 2019-08-22 |
| 1497992861 | Sunny Hills Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 332 E Commonwealth Ave, Fullerton, CA 92832-2017 | 2009-01-07 |
| 1891873006 | Limb Craft, Inc. | Prosthetic/Orthotic Supplier | 810 E Chapman Ave, Suite C, Fullerton, CA 92831-3850 | 2006-11-02 |
| 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 | ||||
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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.