FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC. (NPI# 1225032576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225032576 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC. |
| Other Organization Name | FOUNTAIN ORTHOTICS & PROSTHETICS |
| Practice Address |
351 Hospital Rd Suite 106 Newport Beach CA 92663-3503 |
| Practice Telephone | 9497227101 |
| Practice Fax Number | 9497227120 |
| Mailing Telephone | 9497227101 |
| Mailing Fax Number | 9497227120 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | MRS. VERONICA MEDINA (CREDENTIALING ASSISTANT) |
| Authorized Official Telephone | 7149371998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ========= | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPT OF LABOR PROV. # | 125510801 | 01 |
| CA | NSC | D08605911 | 01 |
| CA | PACIFICARE PROVIDER # | 006869-0001 | 01 |
| CA | BLUE SHIELD PROVIDER # | ZZZ08249Z | 01 |
| Other Name | Type Code |
|---|---|
| Fountain Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968796 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3650 South St Ste 110b, Lakewood, CA 90712-1502 | 2018-07-12 |
| 1720573496 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 500 E Willow St, Long Beach, CA 90806-3115 | 2018-06-26 |
| 1750707055 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2151 N. Harbor Blvd., Suite 1200, Fullerton, CA 92835-3821 | 2014-03-11 |
| 1528060662 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 16520 Harbor Blvd, Suite G, Fountain Valley, CA 92708-1360 | 2005-06-01 |
| 1790092237 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 25982 Pala, Suite 100, Mission Viejo, CA 92691-6719 | 2010-09-03 |
| Street Address |
351 HOSPITAL RD SUITE 106 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761148 | Lee F Carter Md Inc | Internal Medicine | 351 Hospital Rd, Suite 202, Newport Beach, CA 92663-3509 | 2016-06-20 |
| 1184083057 | Andrew Adams | Chiropractor | 351 Hospital Rd, Ste 007, Newport Beach, CA 92663-3509 | 2016-02-19 |
| 1518335025 | Caroline Seery Spindler | Physician Assistant | 351 Hospital Rd, Suite 507, Newport Beach, CA 92663-3509 | 2015-09-14 |
| 1225421324 | Ming Truong, Dds, Inc. | Dentist | 351 Hospital Rd, Suite 201, Newport Beach, CA 92663-3509 | 2015-03-12 |
| 1104234194 | Coastal Vascular Medicine Inc | Internal Medicine | 351 Hospital Rd, 401, Newport Beach, CA 92663-3509 | 2014-07-23 |
| 1891108601 | Tina Sadri, Ma, A Family & Marriage Therapy Corp | Marriage & Family Therapist | 351 Hospital Rd, 206, Newport Beach, CA 92663-3509 | 2014-06-09 |
| 1629481429 | Seyedeh Sadri | Marriage & Family Therapist | 351 Hospital Rd, 206, Newport Beach, CA 92663-3509 | 2014-06-09 |
| 1952727851 | Kendall Marie Pokorski | Physical Therapist | 351 Hospital Rd, Newport Beach, CA 92663-3509 | 2014-03-15 |
| 1851737258 | Candace N. Howe, M.d., A Professional Medical Corporation | Specialist | 351 Hospital Rd, Suite 207, Newport Beach, CA 92663-3509 | 2013-05-13 |
| 1194068304 | Maryam Alamoutinia | Nurse Practitioner | 351 Hospital Rd, 207, Newport Beach, CA 92663-3509 | 2013-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1669735528 | Daniel Alain, Inc. | Prosthetic/Orthotic Supplier | 520 Newport Center Dr Ste 300, Newport Beach, CA 92660-7020 | 2012-06-15 |
| 1821307331 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 901 Newport Center Dr, Newport Beach, CA 92660-6903 | 2010-09-30 |
| 1588606107 | Molina Orthopedic Laboratories Inc. | Prosthetic/Orthotic Supplier | 414 31st St, Ste A, Newport Beach, CA 92663-3872 | 2006-06-11 |
| 1720430739 | David J. Haupt, Dpm | Prosthetic/Orthotic Supplier | 400 Newport Center Dr, Suite #411, Newport Beach, CA 92660-7601 | 2016-07-01 |
| 1265783302 | Wiggin Out Salons | Prosthetic/Orthotic Supplier | 2400 W Coast Hwy, Suite 4, Newport Beach, CA 92663-4700 | 2012-09-28 |
| 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 | NEWPORT BEACH |
| Zip Code | 92663 |
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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.