ANCHOR ORTHOTICS AND PROSTHETICS, INC. (NPI# 1306350285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306350285 |
| Entity Type | Organization |
| Organization Name | ANCHOR ORTHOTICS AND PROSTHETICS, INC. |
| Other Organization Name | ANCHOR ORTHOTICS & PROSTHETICS, INC. |
| Practice Address |
2540 Pacific Ave Stockton CA 95204-4400 |
| Mailing Address |
Po Box 300 Auburn CA 95604-0300 |
| Practice Telephone | 2099449990 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | TERRENCE MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 9164840686 |
| Authorized Official Credential | CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000890 | 05 |
| Other Name | Type Code |
|---|---|
| ANCHOR ORTHOTICS & PROSTHETICS, INC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881100584 | Anchor Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 617 Veterans Blvd Ste 101, Redwood City, CA 94063-1404 | 2017-12-18 |
| Street Address |
2540 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195195 | Rodney D. Henson | Prosthetic/Orthotic Supplier | 2540 Pacific Ave, Suite 2b, Stockton, CA 95204-4400 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
| 1174060909 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 4512 Feather River Dr, Suite A, Stockton, CA 95219-6563 | 2017-01-31 |
| 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.