WEST COAST DME & SUPPLIES LLC (NPI# 1376883660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376883660 |
| Entity Type | Organization |
| Organization Name | WEST COAST DME & SUPPLIES LLC |
| Other Organization Name | ORTHOKINETIX |
| Practice Address |
1835 Chicago Ave. Unit A Riverside CA 92507 |
| Practice Telephone | 9094773117 |
| Practice Fax Number | 9093039244 |
| Mailing Telephone | 9094773117 |
| Mailing Fax Number | 9093039244 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | MR. MICHAEL GREGORY WELLS (COO) |
| Authorized Official Telephone | 9099083920 |
| Authorized Official Credential | C.PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | CA | Suppliers | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 71509 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| OrthoKinetix | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
| 1689189664 | West Coast Dme & Supplies LLC | Durable Medical Equipment & Medical Supplies | 30101 Agoura Ct Ste 114, Agoura Hills, CA 91301-4301 | 2017-12-12 |
| Street Address |
1835 CHICAGO AVE. UNIT A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1891211942 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4244 Riverwalk Pkwy Ste 180, Riverside, CA 92505-8509 | 2017-08-21 |
| 1184092660 | Dean Davis | Prosthetic/Orthotic Supplier | 1784 Container Cir, Riverside, CA 92509-1707 | 2015-09-14 |
| 1184057739 | Next Step Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 11731 Sterling Ave Ste H, Riverside, CA 92503-4958 | 2013-08-19 |
| 1972734267 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 6840 Indiana Avenue, Suite 120, Riverside, CA 92506-4259 | 2009-08-04 |
| 1447473244 | Frank Javier Lopez | Prosthetic/Orthotic Supplier | 11731 Sterling Ave, Suite H, Riverside, CA 92503-4958 | 2007-04-10 |
| 1578659645 | Riverside Artificial Limb & Brace Corp | Prosthetic/Orthotic Supplier | 4013 Brockton Ave, Riverside, CA 92501-3440 | 2006-10-05 |
| 1659396802 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3601 The Galleria At Tyler, Riverside, CA 92503 | 2006-07-12 |
| 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.