ABI P&O INC (NPI# 1871023515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871023515 |
Entity Type | Organization |
Organization Name | ABI P&O INC |
Practice Address |
6190 Fairmount Ave Ste A San Diego CA 92120-3428 |
Practice Telephone | (619) 285-5040 |
Practice Fax Number | 6192855045 |
Mailing Telephone | 6192855040 |
Mailing Fax Number | 6192855045 |
Enumeration Date | 2017-06-15 |
Last Update Date | 2018-03-17 |
Authorized Official Name | MR. JOHN EDWARD PRATER (OFFICE MANAGER) |
Authorized Official Telephone | 6192855040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QA0900X |
Clinic/Center Specialization: Amputee |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
205 Church Ave, Chula Vista, CA 919102702 | 6194258189 | 6194257907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356858864 | Abi P&o Inc | Clinic/Center | 205 Church Ave, Chula Vista, CA 91910-2702 | 2018-01-05 |
Street Address |
6190 FAIRMOUNT AVE STE A |
City | SAN DIEGO |
State | CA |
Zip Code | 92120-3428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336617315 | Gerardo C Guzman | Prosthetist | 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 | 2018-11-07 |
1861960841 | Joseph Crase | Orthotist | 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 | 2018-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
Find all providers in zip 92120 |
Taxonomy Code | 261QA0900X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Amputee |
An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
1518033505 | Long Beach Artificial Limb Co Inc | Clinic/Center | 2268 Long Beach Blvd, Long Beach, CA 90806-4417 | 2006-11-28 |
1962421784 | Joseph Jones Alexander | Clinic/Center | 660 E Regent St, Inglewood, CA 90301-1415 | 2006-07-19 |
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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.