OTTO BOCK HEALTHCARE LP (NPI# 1396926580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396926580 |
| Entity Type | Organization |
| Organization Name | OTTO BOCK HEALTHCARE LP |
| Practice Address |
8897 Duncan Rd San Diego CA 92126-2435 |
| Mailing Address |
Two Carlson Pkwy Ste 100 Attn Sharon Clark Contracts Minneapolis MN 55447-4467 |
| Practice Telephone | 7632535679 |
| Practice Fax Number | 7632535779 |
| Mailing Telephone | 7632535679 |
| Mailing Fax Number | 7632535779 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | SHARON KAY CLARK (PAYOR RELATIONS & CONTRACT ADMIN.) |
| Authorized Official Telephone | 7632535679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PACIFICARE CA PIN# | 18544-1 | 01 |
| CA | ABP DMENSIGN | 26106 | 01 |
| CA | SUA MCO PIN# | 861099 | 01 |
| CA | TRICARE-BS OF CA PIN# | ZZZ65803Z | 01 |
| CA | NORTHWOOD NPN PIN# | 82108 | 01 |
| CA | CARECENTRIX PIN# | 1220 | 01 |
| CA | AETNA HOM PIN# | 2624721 | 01 |
| CA | CCN PIN# | 5453317 | 01 |
| CA | AETNA HON HMO PIN# | 7850253 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487913554 | Otto Bock Healthcare Lp | Prosthetic/Orthotic Supplier | 14800 28th Ave N, Suite 110-d, Minneapolis, MN 55447-4873 | 2012-05-10 |
| 1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
| 1174703896 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 19 Olney Dr, Buffalo, NY 14226-3341 | 2007-11-09 |
| 1407036171 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 705 Tollgate Rd, Suite F, Elgin, IL 60123-9327 | 2007-11-09 |
| 1194922401 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1468 Madison Ave, Box 1241, Guggenheim Pavillion, Mc Level, New York, NY 10029 | 2007-06-29 |
| 1518164276 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 5012 Oxfordshire Rd, Waxhaw, NC 28173-7324 | 2007-06-27 |
| 1659572352 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 440 North State Rd 7, Suite F, Royal Palm Beach, FL 33411-3504 | 2007-05-30 |
| 1285845131 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1002 Marquette St # B, Bay City, MI 48706-4023 | 2007-05-24 |
| 1003025958 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 2350 34th St, Lubbock, TX 79411-1634 | 2007-05-21 |
| 1992914840 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1705 Ohio Dr Ste 200, Plano, TX 75093-5257 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OTTO BOCK HEALTHCARE LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| Virginia Business Entities | Otto Bock HealthCare LP | Two Carlson Pkwy North Ste 100, Plymouth, Minnesota 55447 |
| New York State Corporations | OTTO BOCK HEALTHCARE LP | 80 State Street, Albany, New York 12207-2543 |
| Colorado Business Entities | Otto Bock HealthCare LP | 11501 Alterra Parkway, Suite 600, Austin, TX 78758 |
| North Carolina Corporations | Otto Bock Healthcare LP | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Oklahoma Business Registrations | OTTO BOCK HEALTHCARE LP | Two Carlson Parkway N, Suite 100, Plymouth, MN 55447-4467 |
| Indiana Business Entities | OTTO BOCK HEALTHCARE LP | Two Carlson Pkwy N, Ste 100, Plymouth, MN 55447 |
| Street Address |
8897 DUNCAN RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168591 | Ogo-sma Services LLC | Durable Medical Equipment & Medical Supplies | 8901 Activity Rd Ste 223, San Diego, CA 92126-4432 | 2020-06-12 |
| 1952921850 | Proline Med Supply LLC | Durable Medical Equipment & Medical Supplies | 2667 Camino Del Rio S Ste 101, San Diego, CA 92108-3763 | 2020-04-21 |
| 1598385866 | Modern Therapies LLC | Durable Medical Equipment & Medical Supplies | 2870 4th Ave Apt 401, San Diego, CA 92103-6273 | 2020-04-16 |
| 1639707060 | Derma Hair Group | Durable Medical Equipment & Medical Supplies | 5703 Oberlin Dr Ste 302, San Diego, CA 92121-1743 | 2020-03-31 |
| 1205464658 | Proactive Care Pharmacy, LLC. | Durable Medical Equipment & Medical Supplies | 7345 Linda Vista Rd Ste E, San Diego, CA 92111-5800 | 2020-03-31 |
| 1619502788 | Inova Labs Inc. | Durable Medical Equipment & Medical Supplies | 7581 Convoy Ct, San Diego, CA 92111-1113 | 2020-03-09 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1972147825 | Binyam Gebregziaber Gebrehiwot I | Durable Medical Equipment & Medical Supplies | 4951 68th St, San Diego, CA 92115-1704 | 2019-11-04 |
| 1801438841 | Goodchoice Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 4760 Mission Gorge Pl Ste D, San Diego, CA 92120-4230 | 2019-10-10 |
| 1366090029 | Shur-in, Inc. | Durable Medical Equipment & Medical Supplies | 7452 Rowena Street, San Diego, CA 92119-1241 | 2019-08-27 |
| Find all providers in SAN DIEGO | ||||
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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.