CAPSTONE ORTHOPEDIC, INC. (NPI# 1629084942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629084942 |
| Entity Type | Organization |
| Organization Name | CAPSTONE ORTHOPEDIC, INC. |
| Practice Address |
3553 Castro Valley Blvd Suite B-c Castro Valley CA 94546-4400 |
| Practice Telephone | 5105371210 |
| Practice Fax Number | 5105371082 |
| Mailing Telephone | 5105371210 |
| Mailing Fax Number | 5105371082 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | MR. GLEN STEPHEN ELLIS (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2096126168 |
| Authorized Official Credential | C.P.O. |
| 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 | GXC 000920 | 05 |
| 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 |
| 1033689831 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 1247 E Alluvial Ave Ste 103, Fresno, CA 93720-2686 | 2018-12-05 |
| 1174060909 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 4512 Feather River Dr, Suite A, Stockton, CA 95219-6563 | 2017-01-31 |
| 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 |
3553 CASTRO VALLEY BLVD SUITE B-C |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104020478 | Jeffrey Allan Zellner | Specialist | 3553 Castro Valley Blvd, Suite B, Castro Valley, CA 94546-4400 | 2007-06-12 |
| 1205962818 | Elizabeth Ann Hurley | Specialist | 3553 Castro Valley Blvd, Suite B, Castro Valley, CA 94546-4400 | 2007-02-26 |
| 1023156130 | Glen Stephen Ellis | Specialist | 3553 Castro Valley Blvd, Suite B, Castro Valley, CA 94546-4400 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| 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 |
| 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 | CASTRO VALLEY |
| Zip Code | 94546 |
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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.