MR. DYLAN OTTEN (NPI# 1467947879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467947879 |
| Entity Type | Individual |
| Full Name | MR. DYLAN OTTEN |
| Practice Address |
9 Governors Ln Chico CA 95926-1991 |
| Practice Telephone | 5308946913 |
| Practice Fax Number | 5308946915 |
| Mailing Telephone | 5308946913 |
| Mailing Fax Number | 5308946915 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | C52965 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9 GOVERNORS LN |
| City | CHICO |
| State | CA |
| Zip Code | 95926-1991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073735981 | Michael Patrick Casey | Specialist | 9 Governors Ln, Chico, CA 95926-1991 | 2007-05-02 |
| 1245637289 | Stephanie Barajas I | Orthotic Fitter | 9 Governors Ln, Chico, CA 95926-1991 | 2014-11-19 |
| 1740512441 | Matthew Creed Daniels | Specialist | 9 Governors Ln, Chico, CA 95926-1991 | 2010-02-04 |
| 1851621734 | Elite Biomechanical Design | Prosthetic/Orthotic Supplier | 9 Governors Ln, Chico, CA 95926-1991 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1245637289 | Stephanie Barajas I | Orthotic Fitter | 9 Governors Ln, Chico, CA 95926-1991 | 2014-11-19 |
| 1790840684 | Vincent A Barber | Orthotic Fitter | 592 Rio Lindo Avenue, Chico, CA 95926 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
| 1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
| 1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
| 1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
| 1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
| 1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
| 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.