ACCOLADES PROSTHETIC & ORTHOTIC DESIGN (NPI# 1487638698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487638698 |
| Entity Type | Organization |
| Organization Name | ACCOLADES PROSTHETIC & ORTHOTIC DESIGN |
| Practice Address |
3855 Princeton Dr Santa Rosa CA 95405-7061 |
| Practice Telephone | 7075799570 |
| Practice Fax Number | 7075794963 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MICHAEL TANGE (CERTIFIED PROSTHETIST ORTHOTIST OWN) |
| Authorized Official Telephone | 7075799570 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000130 | 05 |
| Street Address |
3855 PRINCETON DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831302090 | Chris Everett Kerger | Specialist | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2007-05-07 |
| 1700447869 | Ghoury and Quinonez Chiropractic Corporation | Chiropractor | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2019-06-27 |
| 1588224661 | Ruben Ryan Quinonez | Chiropractor | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2019-06-19 |
| 1265092340 | Mohammad Mueen Ghoury | Chiropractor | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2019-06-19 |
| 1841402567 | Michael Vincent Tange | Specialist | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1851760086 | Spectrum O & P of Santa Rosa | Prosthetic/Orthotic Supplier | 1049 Fourth Street, Suite B, Santa Rosa, CA 95404-4303 | 2015-09-17 |
| 1326166018 | John Robert Morales | Prosthetic/Orthotic Supplier | 65 Montgomery Dr, Santa Rosa, CA 95404-6616 | 2007-03-27 |
| 1659366003 | Sierra Orthopedic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 4847 Old Redwood Hwy, Santa Rosa, CA 95403-1415 | 2005-09-13 |
| 1821484056 | Spectrum of Santa Rosa | Prosthetic/Orthotic Supplier | 1041 4th St, Santa Rosa, CA 95404-4329 | 2015-04-14 |
| 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 | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on ACCOLADES PROSTHETIC & ORTHOTIC DESIGN.
| 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.