FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC. (NPI# 1720573496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720573496 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC. |
| Practice Address |
500 E Willow St Long Beach CA 90806-3115 |
| Mailing Address |
16520 Harbor Blvd Ste G Fountain Valley CA 92708-1360 |
| Practice Telephone | 5622068032 |
| Practice Fax Number | 5622174507 |
| Mailing Telephone | 7142101298 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | JEANNE LANGFORD (ADMINISTRATION) |
| Authorized Official Telephone | 7142101298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968796 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3650 South St Ste 110b, Lakewood, CA 90712-1502 | 2018-07-12 |
| 1750707055 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2151 N. Harbor Blvd., Suite 1200, Fullerton, CA 92835-3821 | 2014-03-11 |
| 1225032576 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 351 Hospital Rd, Suite 106, Newport Beach, CA 92663-3503 | 2005-06-01 |
| 1528060662 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 16520 Harbor Blvd, Suite G, Fountain Valley, CA 92708-1360 | 2005-06-01 |
| 1790092237 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 25982 Pala, Suite 100, Mission Viejo, CA 92691-6719 | 2010-09-03 |
| Street Address |
500 E WILLOW ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1740812387 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1040 Elm Ave Ste 304, Long Beach, CA 90813-3267 | 2020-02-11 |
| 1831324474 | Tenni-moc's | Prosthetic/Orthotic Supplier | 6502 E Spring St, Long Beach, CA 90815-1554 | 2009-05-27 |
| 1154524627 | Orthoscientific | Prosthetic/Orthotic Supplier | 860 E Broadway Apt 2z, Long Beach, NY 11561-4712 | 2007-06-11 |
| 1033134903 | Ferraco, Inc. | Prosthetic/Orthotic Supplier | 2933 Long Beach Blvd, Long Beach, CA 90806-1517 | 2006-07-13 |
| 1881681179 | Long Beach Artificial Limb Co., Inc. | Prosthetic/Orthotic Supplier | 2268 Long Beach Blvd, Long Beach, CA 90806-4417 | 2005-10-01 |
| 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 | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC..
| 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.