J & J ARTIFICIAL LIMB & BRACE LLC (NPI# 1508911173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508911173 |
| Entity Type | Organization |
| Organization Name | J & J ARTIFICIAL LIMB & BRACE LLC |
| Other Organization Name | J & J |
| Practice Address |
11411 W Bernardo Ct. San Diego CA 92127 |
| Practice Telephone | 8586130958 |
| Practice Fax Number | 8586130959 |
| Mailing Telephone | 8586130958 |
| Mailing Fax Number | 8586130959 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | MS. MARTHA ALEJANDRE (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 8586130958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | CO004434 | CA | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO1661 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000850 | 05 |
| Other Name | Type Code |
|---|---|
| J & J | Former Legal Business Name - Organization |
| J & J Artificial Limb and Brace | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26691 Plaza Drive, Suite 170, Mission Viejo, CA 92691 | 8586130958 | 8586130959 |
| 3720 Oceanic Way Ste 209, Oceanside, CA 920562653 | 8586130958 | 8586130959 |
| Street Address |
11411 W BERNARDO CT. |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871779272 | Esperanza Friedman | Prosthetic/Orthotic Supplier | 11411 W Bernardo Ct., San Diego, CA 92127 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| 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 |
|---|---|---|---|---|
| 1154815025 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 6244 El Cajon Blvd Ste 12, San Diego, CA 92115-3918 | 2018-06-14 |
| 1215484720 | Telehealth Clinical Services | Prosthetic/Orthotic Supplier | 2667 Camino Del Rio South #207, San Diego, CA 92108-3765 | 2016-09-01 |
| 1770931438 | A Greater Hope | Prosthetic/Orthotic Supplier | 2515 Camino Del Rio S Ste 242a, San Diego, CA 92108-3715 | 2016-06-02 |
| 1649638701 | Norell Prosthetics Orthotics Inc. | Prosthetic/Orthotic Supplier | 5466 Complex St Ste 207, San Diego, CA 92123-1124 | 2016-02-04 |
| 1194132795 | Annadon, Inc. | Prosthetic/Orthotic Supplier | 4079 Governor Dr, Suite 700, San Diego, CA 92122-2522 | 2014-07-15 |
| 1487945739 | Ruthiva LLC | Prosthetic/Orthotic Supplier | 10601 Tierrasanta Blvd, Ste G-188, San Diego, CA 92124-2616 | 2011-04-20 |
| 1952609661 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 7910 Frost St Ste 320, San Diego, CA 92123 | 2011-03-03 |
| 1518147289 | Precision Medical, Inc. | Prosthetic/Orthotic Supplier | 4424 44th St, Suite 315, San Diego, CA 92115-4300 | 2007-11-09 |
| 1508876442 | Carlos Valenzuela | Prosthetic/Orthotic Supplier | 4224 Ohio St, San Diego, CA 92104-1320 | 2006-08-09 |
| 1114943578 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6997 Friars Rd, San Diego, CA 92108-1100 | 2006-07-15 |
| Find all providers in SAN DIEGO | ||||
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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.