BEVERLY HILLS PROSTHETICS ORTHOTICS, INC. (NPI# 1255337432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255337432 |
| Entity Type | Organization |
| Organization Name | BEVERLY HILLS PROSTHETICS ORTHOTICS, INC. |
| Practice Address |
15230 Burbank Blvd Ste 103 Van Nuys CA 91411-3534 |
| Mailing Address |
15230 Burbank Blvd Ste 103 Sherman Oaks CA 91411-3534 |
| Practice Telephone | 8189880033 |
| Practice Fax Number | 8189887219 |
| Mailing Telephone | 8189880033 |
| Mailing Fax Number | 8189887219 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEITH E. VINNECOUR (PRESIDENT) |
| Authorized Official Telephone | 8189880033 |
| Authorized Official Credential | C.P.O. |
| 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 | GXC000260 | 05 |
| Street Address |
15230 BURBANK BLVD STE 103 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91411-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
| 1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
| 1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
| 1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
| 1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
| Find all providers in zip 91411 | ||||
| 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 |
|---|---|---|---|---|
| 1831713189 | Prosthetic & Orthotic Group San Gabriel Valley, Inc | Prosthetic/Orthotic Supplier | 5658 Sepulveda Blvd Ste 206, Van Nuys, CA 91411-2951 | 2020-06-02 |
| 1437369014 | Direct Medical Supplies | Prosthetic/Orthotic Supplier | 13615 Victory Blvd Ste 111, Van Nuys, CA 91401-1770 | 2007-05-23 |
| 1508138710 | Ortho Engineering Inc | Prosthetic/Orthotic Supplier | 14624 Sherman Way, Suite 207, Van Nuys, CA 91405-2241 | 2012-02-02 |
| 1811175128 | Patrick Sogbein | Prosthetic/Orthotic Supplier | 13615 Victory Blvd, Suite 136, Van Nuys, CA 91401-1737 | 2008-02-08 |
| 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.