PACIFIC FOOT & ANKLE SPECIALISTS, INC. (NPI# 1639354004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639354004 |
| Entity Type | Organization |
| Organization Name | PACIFIC FOOT & ANKLE SPECIALISTS, INC. |
| Practice Address |
1125 E 17th St Suite E-107 Santa Ana CA 92701-2201 |
| Practice Telephone | 7145420656 |
| Practice Fax Number | 7145425059 |
| Mailing Telephone | 7145420656 |
| Mailing Fax Number | 7145425059 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | MICHAEL GODDARD (PRESIDENT) |
| Authorized Official Telephone | 7145420656 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1125 E 17TH ST SUITE E-107 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602579 | Roger Hsio-hsion Wang | Family Medicine | 1125 E 17th St, Suite W239, Santa Ana, CA 92701-2201 | 2005-07-08 |
| 1518478643 | Eb Psych Solution, Inc. | Psychiatry & Neurology | 1125 E 17th St, Santa Ana, CA 92701-2201 | 2017-10-16 |
| 1679007314 | Enda Yadira Gutierrez | Technician, Pathology | 1125 E 17th St, Suite E214, Santa Ana, CA 92701-2201 | 2017-04-19 |
| 1780134478 | Dr. Bao Luu Nguyen Dds Inc. | Dentist | 1125 E 17th St, Suite # W 127, Santa Ana, CA 92701-2201 | 2016-10-06 |
| 1053768341 | Rameshni Chiropractic Inc. | Chiropractor | 1125 E 17th St, Suite W238, Santa Ana, CA 92701-2201 | 2016-05-17 |
| 1881005965 | Align Medical Group | Chiropractor | 1125 E 17th St, Suite W-117, Santa Ana, CA 92701-2201 | 2014-05-12 |
| 1770902900 | Raouf A Kayaleh Md Prof Medical Corp | Internal Medicine | 1125 E 17th St, Suite E-109, Santa Ana, CA 92701-2201 | 2014-04-15 |
| 1629495726 | Ali Hamzeh Medical Corporation | Obstetrics & Gynecology | 1125 E 17th St, Suite N152, Santa Ana, CA 92701-2201 | 2014-03-26 |
| 1861819542 | Stevie L Reynolds Dental Corporation | Dentist | 1125 E 17th St, N-151, Santa Ana, CA 92701-2201 | 2014-03-19 |
| 1811328388 | Lori Strother | Psychologist | 1125 E 17th St, Suite E113, Santa Ana, CA 92701-2201 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1639404015 | Southern California Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1801 Parkcourt Pl, Bldg B, Santa Ana, CA 92701-5002 | 2009-10-02 |
| 1093857740 | Applied Orthotic Systems Ltd | Prosthetic/Orthotic Supplier | 2414 S Fairview St, Suite 107a, Santa Ana, CA 92704-5318 | 2007-02-12 |
| 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 |
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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.