ACTIVE 1 PROSTHETICS AND ORTHOTICS


Address: 295 W Cromwell Ave, Suite 102, Fresno, CA 93711-6167
Phone: 5594935020

ACTIVE 1 PROSTHETICS AND ORTHOTICS (NPI# 1942697875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942697875
Entity Type Organization
Organization Name ACTIVE 1 PROSTHETICS AND ORTHOTICS
Practice Address 295 W Cromwell Ave
Suite 102
Fresno
CA 93711-6167
Practice Telephone 5594935020
Practice Fax Number 5594923569
Mailing Telephone 5594935020
Mailing Fax Number 5594923569
Enumeration Date 2015-04-17
Last Update Date 2015-04-17
Authorized Official Name MR. STEPHAN MARK MAGILL (PRESIDENT)
Authorized Official Telephone 5594935020
Authorized Official Credential C.P.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ACTIVE 1 PROSTHETICS AND ORTHOTICS, INC. 295 W Cromwell Ste 102, Fresno, CA 93711-6167

Office Location

Street Address 295 W CROMWELL AVE
SUITE 102
City FRESNO
State CA
Zip Code 93711-6167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841283025 Post Operative Care Associates Home Health 295 W Cromwell Ave, Suite 103, Fresno, CA 93711-6167 2005-08-24
1417144494 Louise G Garrett Orthotic Fitter 295 W Cromwell Ave, Fresno, CA 93711-6167 2007-10-03
1942497920 Stephan M Magill Orthotist 295 W Cromwell Ave, Suite 102, Fresno, CA 93711-6167 2007-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104464684 Kazi Shafiul Moula Dentist Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 2019-12-16
1760037063 Armine Petrosyan Nurse Practitioner 427 W Beford Ave Suite 103, Fresno, CA 93711 2019-08-05
1912489360 Shoua Nelson Nurse Practitioner 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 2018-09-02
1245725506 Promesa Behavioral Health-barstow Community Based Residential Treatment Facility, Mental Illness 1415 W Barstow Ave, Fresno, CA 93711 2018-06-28
1407344138 Aidan Mechem Behavior Technician 5140 N. Fruit Avene, Fresno, CA 93711 2018-04-27
1841798840 Michael Ramos IIi Behavior Technician 1690 N Shaw Ave, 102, Fresno, CA 93711 2018-01-25
1962913467 Dhara Devendrakumar Patel Pharmacist 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 2017-10-24
1588183636 Bianca Arteaga Counselor 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 2017-09-10
1346763158 Powell Pediatric Dentistry Ingram Partnership Dentist 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 2017-07-24
1982124202 Justine Syera Balbas Counselor 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 2017-06-27
Find all providers in zip 93711

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871191742 Alcam Medical Inc. Prosthetic/Orthotic Supplier 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 2020-10-13
1255938452 Sheek Hair Boutique Prosthetic/Orthotic Supplier 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 2020-10-01
1376183848 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 30 E River Park Pl W Ste 280, Fresno, CA 93720-1547 2020-01-13
1558560839 Donna Dye Prosthetic/Orthotic Supplier 1145 E Champlain Dr, Fresno, CA 93720-5010 2007-07-16
1356451462 Meacham Ent Inc Prosthetic/Orthotic Supplier 323 W Cromwell, Ste 118, Fresno, CA 93711-5844 2006-08-30
1457366874 Mckinlay Enterprises Inc Prosthetic/Orthotic Supplier 343 E Shaw Ave, Fresno, CA 93710-7609 2006-07-31
1487687083 Helena Gibson Prosthetic/Orthotic Supplier 379 W Shaw Ave, Fresno, CA 93704-2647 2006-07-08
1164996658 Restore Medical Inc Prosthetic/Orthotic Supplier 7335 N 1st St Ste 109, Fresno, CA 93720-2968 2019-01-17
1033689831 Capstone Orthopedic, Inc. Prosthetic/Orthotic Supplier 1247 E Alluvial Ave Ste 103, Fresno, CA 93720-2686 2018-12-05
1558559484 Robert Garland Dirksen Prosthetic/Orthotic Supplier 2039 N Fine Ave, Fresno, CA 93727-1512 2007-10-04
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93711

Improve Information

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Dataset Information

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.

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