WEST COAST ORTHOTIC & PROSTHETIC SERVICES INC (NPI# 1841211992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841211992 |
| Entity Type | Organization |
| Organization Name | WEST COAST ORTHOTIC & PROSTHETIC SERVICES INC |
| Practice Address |
3215 N California St Ste 2 Stockton CA 95204 |
| Mailing Address |
693 Hi Tech Pkwy Oakdale CA 95361-9372 |
| Practice Telephone | 2099424166 |
| Practice Fax Number | 2099424168 |
| Mailing Telephone | 2098458231 |
| Mailing Fax Number | 2098452883 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | MR. JENNIFER K CREE SR. (CONTRACT CORDINATOR) |
| Authorized Official Telephone | 2098458231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215958368 | West Coast Orthotic & Prosthetic Services Inc | Orthotic Fitter | 1705 Coffee Rd, Ste 3, Modesto, CA 95355 | 2006-07-22 |
| Street Address |
3215 N CALIFORNIA ST STE 2 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866777 | May Mardini | Physical Therapist | 3215 N California St, Stockton, CA 95204-3433 | 2006-01-24 |
| 1942503883 | Cecilia Ferreyra | Specialist/Technologist, Other | 3215 N California St, Stockton, CA 95204-3433 | 2010-12-15 |
| 1679757470 | Megan Marie Woodward | Physical Therapist | 3215 N California St, Suite 4, Stockton, CA 95204-3433 | 2007-12-28 |
| 1306908181 | Tamara L Phelan | Physical Therapist | 3215 N California St, Suite 4, Stockton, CA 95204-3433 | 2006-12-15 |
| 1497850630 | West Coast Orthotic and Prosthetic | Prosthetic/Orthotic Supplier | 3215 N California St, Stockton, CA 95204-3433 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] 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 |
|---|---|---|---|---|
| 1639181811 | Stockton Hand Therapy & Rehabilitation | Orthotic Fitter | 1919 Grand Canal Blvd, Suite C4, Stockton, CA 95207-8114 | 2006-08-13 |
| 1376732719 | Vicki Hernandez | Orthotic Fitter | 1236 N El Dorado St Ste Abc, Stockton, CA 95202-1324 | 2007-10-22 |
| 1891984233 | Benjamin Sanchez | Orthotic Fitter | 1236 N El Dorado St Ste Abc, Stockton, CA 95202-1324 | 2007-10-22 |
| 1659383925 | Marianne Renee Caballero-rodriguez | Orthotic Fitter | 1919 Grand Canal Blvd, Suite C-4, Stockton, CA 95207-8114 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
| 1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
| 1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
| 1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
| 1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
| 1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
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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.