MICHAEL AMEZCUA (NPI# 1346437605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346437605 |
| Entity Type | Individual |
| Full Name | MICHAEL AMEZCUA |
| Practice Address |
2075 N Broadway Walnut Creek CA 94596-3716 |
| Practice Telephone | 9259307801 |
| Mailing Telephone | 9259307801 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 1295126274 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2015-02-11 |
| 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 |
| 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 | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] 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 |
|---|---|---|---|---|
| 1962699215 | Francisco Gutierrez | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1316134679 | Jamie Boer | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 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 |
| 1124215306 | Daniel Roll | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1598952764 | Stefan Gran | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1861689036 | Sharon J Hunsinger | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1740477926 | Georgina Marie Thorson | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1861689127 | Annamaria E Brown | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1023205200 | Ranjeeta K Singh | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MICHAEL AMEZCUA.
| 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.