CHARLES DUBOURDIEU III (NPI# 1619348109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619348109 |
| Entity Type | Individual |
| Full Name | CHARLES DUBOURDIEU III |
| Credential | CPO |
| Practice Address |
7601 Imperial Hwy 900 Annex A Downey CA 90242-3456 |
| Practice Telephone | 5624018115 |
| Practice Fax Number | 5628035569 |
| Mailing Telephone | 5624018115 |
| Mailing Fax Number | 5628035569 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO 1803 | CA | Suppliers |
| Street Address |
7601 IMPERIAL HWY 900 ANNEX A |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043257082 | Mark James Borigini | Internal Medicine | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-05-31 |
| 1306459151 | Kristin Anderson | Dentist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-08-30 |
| 1609489277 | Jeffrey Fuqua Kerbel | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-08-24 |
| 1023636354 | Jung Won Lee | Occupational Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-07-13 |
| 1972121358 | Samuel Quinn Kaplan | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-07-11 |
| 1538782362 | Deanida Wray Andrews | Dietitian, Registered | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-05-27 |
| 1316574445 | Amy Nicole Ganser | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-03-26 |
| 1750917746 | Hannah Kate Rhodes | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-03-21 |
| 1992338933 | Samantha Smith | Dietitian, Registered | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-02-18 |
| 1780215723 | Lydia Ellen Van Hoff | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| 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 |
|---|---|---|---|---|
| 1851857395 | Rancho Research Institute | Prosthetic/Orthotic Supplier | 12707 Rives Ave Ste E, Downey, CA 90242-4161 | 2019-02-20 |
| 1376897462 | Ferraco, Inc. | Prosthetic/Orthotic Supplier | 8734 Cleta St, Unit C, Downey, CA 90241-5279 | 2012-10-29 |
| 1912046012 | Rancho Research Institute | Prosthetic/Orthotic Supplier | 7601 E. Imperial Hwy 900 Annex A, Downey, CA 90242-3456 | 2007-02-05 |
| 1992135891 | Shelley Taji | Prosthetic/Orthotic Supplier | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2013-11-14 |
| 1467881631 | William Stuart | Prosthetic/Orthotic Supplier | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2013-11-07 |
| 1366620015 | Fernando J Nunez | Prosthetic/Orthotic Supplier | 9102 Firestone Blvd, Suite E, Downey, CA 90241-5348 | 2008-02-05 |
| 1194834192 | Ace Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 7860 Imperial Hwy, Suite E, Downey, CA 90242-3464 | 2006-08-30 |
| 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 |
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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.