COLLIER ORTHOTICS AND PROSTHETICS SACRAMENTO, INC. (NPI# 1487806865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487806865 |
| Entity Type | Organization |
| Organization Name | COLLIER ORTHOTICS AND PROSTHETICS SACRAMENTO, INC. |
| Practice Address |
3814 Auburn Blvd Ste 75 Sacramento CA 95821-2123 |
| Practice Telephone | 9169799729 |
| Practice Fax Number | 9169719393 |
| Mailing Telephone | 9169799729 |
| Mailing Fax Number | 9169719393 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | MR. RICHARD WILLIAM TODD (PRESIDENT) |
| Authorized Official Telephone | 9169799729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CFO00238 | CA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLLIER ORTHOTICS AND PROSTHETICS SACRAMENTO, INC. | 3830 Auburn Blvd Ste A, Sacramento, CA 95821-2136 |
| Street Address |
3814 AUBURN BLVD STE 75 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225807 | Nicholas Degabriele | Orthotic Fitter | 3814 Auburn Blvd Ste 75, Sacramento, CA 95821-2123 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| 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 |
|---|---|---|---|---|
| 1972147916 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2825 J St Ste 325, Sacramento, CA 95816-4300 | 2019-11-02 |
| 1962601302 | Anchor Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1828 Tribute Rd Ste G, Sacramento, CA 95815-4310 | 2007-07-16 |
| 1942354584 | West Coast Prosthetics | Prosthetic/Orthotic Supplier | 65 Quinta Ct Ste I, Sacramento, CA 95823-4310 | 2007-01-22 |
| 1306911227 | Anchor Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2006-11-24 |
| 1982715793 | Phillip A Danz & Associates | Prosthetic/Orthotic Supplier | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2006-08-31 |
| 1518983980 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1651 Arden Way, Sacramento, CA 95815-4004 | 2006-07-15 |
| 1821083163 | Professional Orthopedic Systems of Sacramento, LLC | Prosthetic/Orthotic Supplier | 5049 College Oak Dr, Suite F, Sacramento, CA 95841-4630 | 2005-09-13 |
| 1073973194 | Compression Obsession | Prosthetic/Orthotic Supplier | 650 University Ave, Suite 109, Sacramento, CA 95825 | 2016-03-02 |
| 1245698984 | At Last Bra and Lingerie Boutique LLC | Prosthetic/Orthotic Supplier | 1325 Howe Ave, Suite 100, Sacramento, CA 95825-3364 | 2016-02-09 |
| 1205229549 | Grabowski & Associates Inc | Prosthetic/Orthotic Supplier | 5340 Elvas Ave, Suite 700, Sacramento, CA 95819-2345 | 2015-03-11 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on COLLIER ORTHOTICS AND PROSTHETICS SACRAMENTO, INC..
| 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.