PREMIER ORTHOTIC AND PROSTHETIC SERVICES INC (NPI# 1073651139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073651139 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOTIC AND PROSTHETIC SERVICES INC |
| Other Organization Name | PROSTHETICS ETC |
| Practice Address |
855 N Lark Ellen Ave Ste I West Covina CA 91791-1099 |
| Practice Telephone | 6264309253 |
| Mailing Telephone | 6264309253 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN M CAREY (PRESIDENT) |
| Authorized Official Telephone | 6264309253 |
| 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 |
|---|---|
| Prosthetics Etc | Doing Business As Name - Organization |
| Street Address |
855 N LARK ELLEN AVE STE I |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009089 | Harold Lee Laue Jr. | Chiropractor | 855 N Lark Ellen Ave, Suite H, West Covina, CA 91791-1099 | 2005-11-08 |
| 1275085235 | 123 Pediatric Therapy, A Physical Therapy P.C. | Clinic/Center | 855 N Lark Ellen Ave, Suite L, West Covina, CA 91791-1099 | 2016-10-25 |
| 1982008934 | Opd Foot and Ankle | Clinic/Center | 855 N Lark Ellen Ave, Suite C, West Covina, CA 91791-1099 | 2014-10-20 |
| 1457764896 | Cynthia Lee Hill | Speech-Language Pathologist | 855 N Lark Ellen Ave, Suite J, West Covina, CA 91791-1099 | 2014-06-03 |
| 1407274384 | Charles J. Young Dds | Dentist | 855 N Lark Ellen Ave, Suite F, West Covina, CA 91791-1099 | 2014-03-28 |
| 1861827685 | Karen April Hwang | Physical Therapist | 855 N Lark Ellen Ave, Suite L, West Covina, CA 91791-1099 | 2013-09-11 |
| 1417253147 | Kenny Keui-hsiang Huang | Podiatrist | 855 N Lark Ellen Ave, Suite C, West Covina, CA 91791-1099 | 2011-01-27 |
| 1902025307 | United Therapy Network Incorporated | Speech-Language Pathologist | 855 N Lark Ellen Ave, Suite J, West Covina, CA 91791-1099 | 2007-04-24 |
| 1679608715 | Andrew Knoll Fujita | Chiropractor | 855 N Lark Ellen Ave, Suite D, West Covina, CA 91791-1099 | 2007-02-22 |
| 1477618452 | Mahindokht Jafari | Pediatrics | 855 N Lark Ellen Ave, Suite A, West Covina, CA 91791-1099 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1629195870 | Jung Jung Liu | Dentist | 628 North Azusa Ave, West Covina, CA 91791 | 2007-03-23 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| Find all providers in zip 91791 | ||||
| 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 |
|---|---|---|---|---|
| 1568961977 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 855 N Lark Ellen Ave Ste A, West Covina, CA 91791-1099 | 2018-02-12 |
| 1306202353 | Ducens Med-tech, Inc | Prosthetic/Orthotic Supplier | 933 S Sunset Ave, Suite 101, West Covina, CA 91790-3410 | 2016-01-06 |
| 1730450784 | Ortho Engineering Inc | Prosthetic/Orthotic Supplier | 741 S Orange Ave, West Covina, CA 91790-2662 | 2012-01-23 |
| 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 | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
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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.