CAPSTONE ORTHOPEDIC, INC. (NPI# 1174060909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174060909 |
| Entity Type | Organization |
| Organization Name | CAPSTONE ORTHOPEDIC, INC. |
| Other Organization Name | CAPSTONE PROSTHETIC AND ORTHOTICS |
| Practice Address |
4512 Feather River Dr Suite A Stockton CA 95219-6563 |
| Practice Telephone | 2098513782 |
| Practice Fax Number | 2098513808 |
| Mailing Telephone | 2098513782 |
| Mailing Fax Number | 2098513808 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | GLEN ELLIS (CEO) |
| Authorized Official Telephone | 2096126168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| CAPSTONE PROSTHETIC 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 |
| 1851466882 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 1355 Bessie Ave, Tracy, CA 95376-3415 | 2006-11-22 |
| 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 |
| 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 |
4512 FEATHER RIVER DR SUITE A |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-6563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346407434 | Bay Area Anesthesia Associates | Anesthesiology | 4512 Feather River Dr, Suite C, Stockton, CA 95219-6563 | 2008-05-17 |
| 1437469624 | Bay Area Anesthesia Associates | Pain Medicine | 4512 Feather River Dr, Stockton, CA 95219-6563 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| 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 |
| 1346735933 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 1024 W Robinhood Dr Ste 2, Stockton, CA 95207-5644 | 2018-06-26 |
| 1235405861 | D Danz & Sons Inc | Prosthetic/Orthotic Supplier | 2155 W March Lane, #3-f, Stockton, CA 95207-6420 | 2012-03-28 |
| 1033413075 | Preferred Prosthetics Inc | Prosthetic/Orthotic Supplier | 3215 N California St Ste 2, Stockton, CA 95204-3433 | 2011-01-05 |
| 1871808295 | Center for Independent Rehabilitative Services | Prosthetic/Orthotic Supplier | 3215 N California St Ste 1, Stockton, CA 95204-3433 | 2010-08-10 |
| 1649290107 | San Joaquin Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 2211 N California St, Stockton, CA 95204-5503 | 2006-07-20 |
| 1124071493 | Continuous Positive Motion Technology, Inc | Prosthetic/Orthotic Supplier | 1545 St. Marks Plaza, Ste 6, Stockton, CA 95207 | 2006-05-18 |
| 1932195195 | Rodney D. Henson | Prosthetic/Orthotic Supplier | 2540 Pacific Ave, Suite 2b, Stockton, CA 95204-4400 | 2005-09-23 |
| 1306350285 | Anchor Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2540 Pacific Ave, Stockton, CA 95204-4400 | 2017-11-29 |
| 1497850630 | West Coast Orthotic and Prosthetic | Prosthetic/Orthotic Supplier | 3215 N California St, Stockton, CA 95204-3433 | 2006-09-13 |
| Find all providers in STOCKTON | ||||
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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.