CAPSTONE ORTHOPEDIC, INC. (NPI# 1760749675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760749675 |
| Entity Type | Organization |
| Organization Name | CAPSTONE ORTHOPEDIC, INC. |
| Other Organization Name | SHORELINE PROSTHETICS AND ORTHOTICS |
| Practice Address |
1010 Water St Santa Cruz CA 95062-1559 |
| Mailing Address |
3553 Castro Valley Blvd Suite B Castro Valley CA 94546-4400 |
| Practice Telephone | 8314210007 |
| Practice Fax Number | 8314210003 |
| Mailing Telephone | 5105371210 |
| Mailing Fax Number | 5105371082 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | MR. GLEN S ELLIS (CEO) |
| Authorized Official Telephone | 2096126168 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Shoreline Prosthetics and Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548710 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 921b S Main St, Salinas, CA 93901-2435 | 2010-05-06 |
| 1679797013 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 165 Rio Lindo Ave, Suite 100, Chico, CA 95926-1909 | 2007-04-13 |
| 1851466882 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 1355 Bessie Ave, Tracy, CA 95376-3415 | 2006-11-22 |
| 1376620492 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 301 W Noble Ave, Visalia, CA 93277-2633 | 2006-11-01 |
| 1629084942 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 3553 Castro Valley Blvd, Suite B-c, Castro Valley, CA 94546-4400 | 2006-07-31 |
| 1033689831 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 1247 E Alluvial Ave Ste 103, Fresno, CA 93720-2686 | 2018-12-05 |
| 1174060909 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 4512 Feather River Dr, Suite A, Stockton, CA 95219-6563 | 2017-01-31 |
| 1720126824 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 7015 N Chestnut Ave, Suite 103, Fresno, CA 93720-0349 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CAPSTONE ORTHOPEDIC, INC. | 3553 Castro Valley Blvd Ste B, Castro Valley, CA 94546-4456 |
| Street Address |
1010 WATER ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952590382 | Robert J Tschida | Orthotist | 1010 Water St, Santa Cruz, CA 95062-1559 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| 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 |
|---|---|---|---|---|
| 1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
| 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 |
| 1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
| 1831713189 | Prosthetic & Orthotic Group San Gabriel Valley, Inc | Prosthetic/Orthotic Supplier | 5658 Sepulveda Blvd Ste 206, Van Nuys, CA 91411-2951 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.