STANCE PROSTHETICS & ORTHOTICS LLC (NPI# 1629350178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629350178 |
Entity Type | Organization |
Organization Name | STANCE PROSTHETICS & ORTHOTICS LLC |
Practice Address |
1300 W 155th St Suite 106 Gardena CA 90247-4048 |
Practice Telephone | 3105384596 |
Practice Fax Number | 3105384504 |
Mailing Telephone | 3105384596 |
Mailing Fax Number | 3105384504 |
Enumeration Date | 2011-09-11 |
Last Update Date | 2011-09-11 |
Authorized Official Name | KENNETH TEMEKI (MEMBER/OWNER LLC) |
Authorized Official Telephone | 3105384596 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Street Address |
1300 W 155TH ST SUITE 106 |
City | GARDENA |
State | CA |
Zip Code | 90247-4048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689610768 | Cheryl J Hanks | Physical Therapist | 1300 W 155th St, Suite 203, Gardena, CA 90247 | 2006-06-20 |
1588110803 | Sirach Acupuncture Inc | Acupuncturist | 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 | 2016-08-28 |
1508164328 | La County Department of Mental Health | Rehabilitation Practitioner | 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 | 2011-03-02 |
1306140637 | Rivy Olasumbo Oseni | Nurse Practitioner | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-12-30 |
1932409281 | Janice Gregory | Registered Nurse | 1300 W 155th St, 103, Gardena, CA 90247-4048 | 2010-11-02 |
1932421484 | Cre-sha A Beverly | Counselor | 1300 W 155th St, Gardena, CA 90247-4048 | 2010-02-25 |
1295057792 | Gary David Barnett | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-02-24 |
1629302948 | Etna L Gonzalez | Registered Nurse | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-09-21 |
1629211396 | Deanna Marie King | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-04-10 |
1003075656 | Bryce K. Yamauchi | Podiatrist | 1300 W 155th St, Suite 210, Gardena, CA 90247-4048 | 2008-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
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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 |
---|---|---|---|---|
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.