ROBERT GARLAND DIRKSEN


Address: 2039 N Fine Ave, Fresno, CA 93727-1512
Phone: 5592515557

ROBERT GARLAND DIRKSEN (NPI# 1558559484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558559484
Entity Type Organization
Organization Name ROBERT GARLAND DIRKSEN
Other Organization Name CENTRAL ORTHOTIC & PROSTHETIC
Practice Address 2039 N Fine Ave
Fresno
CA 93727-1512
Practice Telephone 5592515557
Practice Fax Number 5592515559
Mailing Telephone 5592515557
Mailing Fax Number 5592515559
Enumeration Date 2007-10-04
Last Update Date 2007-11-19
Authorized Official Name ROBERT GARLAND DIRKSEN (OWNER)
Authorized Official Telephone 5592515557
Authorized Official Credential CPO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA GXC000650 05

Other Provider/Organization Names

Other Name Type Code
CENTRAL ORTHOTIC & PROSTHETIC Doing Business As Name - Organization

Office Location

Street Address 2039 N FINE AVE
City FRESNO
State CA
Zip Code 93727-1512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699872663 Robert Garland Dirksen Orthotist 2039 N Fine Ave, Fresno, CA 93727-1512 2006-09-20
1215579230 Randy S Vallembois Orthotist 2039 N Fine Ave, Fresno, CA 93727-1512 2019-10-10
1366621567 Tammy Lynn Dirksen Orthotist 2039 N Fine Ave, Fresno, CA 93727-1512 2007-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427524354 Travis L Minor Driver 4573 Kings Canyon Rd, Freso, CA 93727 2018-10-18
1780178921 Amanda Hernandez Behavior Technician 6358 E Mono St, Fresno, CA 93727 2018-06-20
1225533169 Lindsay Fisher Marriage & Family Therapist 4928 E Clinton Way Ste 108, Fresno, CA 93727 2018-03-23
1811351992 Paulinder Ranu Pediatrics 5557 E King Cyn Rd, Fresno, CA 93727 2016-04-05
1851781371 Sheri Taylor Social Worker 2010 N Fine Ave # 105, Fresno, CA 93727 2015-02-04
1770917486 Elouise Jones-green Counselor 4491 E. Mckinley Ave #112, Fresno, CA 93727 2013-08-29
1700227022 Chee Vang Counselor 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 2013-07-15
1578839791 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 5995 E Kings Canyon Rd, Fresno, CA 93727 2012-04-02
1932411378 Leticia Ball Marriage & Family Therapist 4944 E. Clinton Way, Fresno, CA 93727 2010-07-13
1639308158 Juanita Sermeno Counselor 4944 E. Clinton, Suite 101, Fresno, CA 93727 2009-07-06
Find all providers in zip 93727

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871191742 Alcam Medical Inc. Prosthetic/Orthotic Supplier 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 2020-10-13
1255938452 Sheek Hair Boutique Prosthetic/Orthotic Supplier 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 2020-10-01
1376183848 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 30 E River Park Pl W Ste 280, Fresno, CA 93720-1547 2020-01-13
1558560839 Donna Dye Prosthetic/Orthotic Supplier 1145 E Champlain Dr, Fresno, CA 93720-5010 2007-07-16
1356451462 Meacham Ent Inc Prosthetic/Orthotic Supplier 323 W Cromwell, Ste 118, Fresno, CA 93711-5844 2006-08-30
1457366874 Mckinlay Enterprises Inc Prosthetic/Orthotic Supplier 343 E Shaw Ave, Fresno, CA 93710-7609 2006-07-31
1487687083 Helena Gibson Prosthetic/Orthotic Supplier 379 W Shaw Ave, Fresno, CA 93704-2647 2006-07-08
1164996658 Restore Medical Inc Prosthetic/Orthotic Supplier 7335 N 1st St Ste 109, Fresno, CA 93720-2968 2019-01-17
1033689831 Capstone Orthopedic, Inc. Prosthetic/Orthotic Supplier 1247 E Alluvial Ave Ste 103, Fresno, CA 93720-2686 2018-12-05
1942697875 Active 1 Prosthetics and Orthotics Prosthetic/Orthotic Supplier 295 W Cromwell Ave, Suite 102, Fresno, CA 93711-6167 2015-04-17
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93727

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Dataset Information

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.

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