RESTORE MEDICAL INC (NPI# 1295126274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295126274 |
| Entity Type | Organization |
| Organization Name | RESTORE MEDICAL INC |
| Other Organization Name | TOTAL CARE |
| Practice Address |
2075 N Broadway Walnut Creek CA 94596-3716 |
| Practice Telephone | 9259307801 |
| Practice Fax Number | 9259309739 |
| Mailing Telephone | 9259307801 |
| Mailing Fax Number | 9259309739 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | JASON JOSEPH DUNPHY (PRESIDENT) |
| Authorized Official Telephone | 5306054292 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Total Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
| 1376934356 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1660 Hamilton Ave, San Jose, CA 95125-5434 | 2015-02-11 |
| 1164996658 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 7335 N 1st St Ste 109, Fresno, CA 93720-2968 | 2019-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RESTORE MEDICAL INC. | 2294 Crest Drive, Lake Oswego, OR 97034 |
| Street Address |
2075 N BROADWAY |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962699215 | Francisco Gutierrez | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1528255593 | Daniel L Cherry | Driver | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-03 |
| 1831386093 | Jon Dunphy | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1598952772 | Kevin Kwok | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1336336502 | Wes E Eacret | Orthotist | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1598952764 | Stefan Gran | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1740477926 | Georgina Marie Thorson | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1346437605 | Michael Amezcua | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1023205200 | Ranjeeta K Singh | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1699962951 | Kati Auxier | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1952327322 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1200 Broadway Plz, Walnut Creek, CA 94596-5129 | 2006-07-15 |
| 1609135029 | M&g Custom Shoes and Orthotics LLC | Prosthetic/Orthotic Supplier | 2950 Buskirk Ave, Suite 300, Walnut Creek, CA 94597-7779 | 2012-05-04 |
| 1548576366 | Diablo Prosthetics & Orthotics Inc. | Prosthetic/Orthotic Supplier | 120 La Casa Via, Suite 202, Walnut Creek, CA 94598-3067 | 2010-08-31 |
| 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 | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on RESTORE MEDICAL INC.
| 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.