CAPSTONE ORTHOPEDIC, INC. (NPI# 1851466882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851466882 |
| Entity Type | Organization |
| Organization Name | CAPSTONE ORTHOPEDIC, INC. |
| Other Organization Name | CAPSTONE PROSTHETICS AND ORTHOTICS |
| Practice Address |
1355 Bessie Ave Tracy CA 95376-3415 |
| Practice Telephone | 2098348600 |
| Practice Fax Number | 2098348700 |
| Mailing Telephone | 2098348600 |
| Mailing Fax Number | 2098348700 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | MR. GLEN STEPHEN ELLIS (COO) |
| Authorized Official Telephone | 2096126168 |
| Authorized Official Credential | C.P.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | CAPSTONE ORTHOPEDIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC 000922 | 05 |
| Other Name | Type Code |
|---|---|
| Capstone 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 |
| 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 |
| 1760749675 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 1010 Water St, Santa Cruz, CA 95062-1559 | 2012-04-16 |
| 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 |
1355 BESSIE AVE |
| City | TRACY |
| State | CA |
| Zip Code | 95376-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409275 | Albert Anthony Mezzanares Jr. | Orthotic Fitter | 1355 Bessie Ave, Tracy, CA 95376-3415 | 2020-02-21 |
| 1750931853 | Vanessa Trogdon | Orthotist | 1355 Bessie Ave, Tracy, CA 95376-3415 | 2019-09-19 |
| 1164558771 | Santiago Rosales Jr. | Specialist | 1355 Bessie Ave, Tracy, CA 95376-3415 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| 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 |
| 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.