SHOE FIX AND PEDORTHIC CARE (NPI# 1336472695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336472695 |
Entity Type | Organization |
Organization Name | SHOE FIX AND PEDORTHIC CARE |
Practice Address |
605 High St Auburn CA 95603-4207 |
Practice Telephone | 5308887884 |
Mailing Telephone | 5308887884 |
Enumeration Date | 2009-09-17 |
Last Update Date | 2009-09-17 |
Authorized Official Name | TINA THORNTON (MANAGER) |
Authorized Official Telephone | 5308887884 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SHOE FIX AND PEDORTHIC CARE | 605 High St, Auburn, CA 95603-4207 |
Street Address |
605 HIGH ST |
City | AUBURN |
State | CA |
Zip Code | 95603-4207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
Find all providers in zip 95603 |
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 |
---|---|---|---|---|
1831348465 | Anchor Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 11990 Heritage Oak Pl Ste 12, Auburn, CA 95603-2405 | 2008-09-18 |
1699829358 | Rainier Surgical, Inc. | Prosthetic/Orthotic Supplier | 1144 29th St Nw, Auburn, WA 98001-2465 | 2007-01-22 |
1235225442 | Lamey Wellehan Inc | Prosthetic/Orthotic Supplier | 940 Turner St, Auburn, ME 04210-6309 | 2006-10-05 |
1558398750 | Advance Orthotic & Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 207 North River Road, Auburn, ME 04210 | 2006-06-26 |
1073567467 | Professional Orthopedic Systems of Auburn | Prosthetic/Orthotic Supplier | 1237 Grass Valley Hwy, Auburn, CA 95603-3413 | 2006-05-20 |
1194717520 | Golden State Medical Inc | Prosthetic/Orthotic Supplier | 200 Linden Ave, 100, Auburn, CA 95603-5280 | 2005-08-22 |
1518383835 | Central Maine Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 229 Center St, Auburn, ME 04210-6168 | 2014-03-11 |
1962643007 | Anchor Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 11990 Heritage Oak Pl, Suite 12, Auburn, CA 95603-2455 | 2009-03-19 |
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 |
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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.