STELLAR PROSTHETICS AND ORTHOTICS


Address: 931 Buena Vista St Ste 304, Duarte, CA 91010-1714
Phone: 6265840805

STELLAR PROSTHETICS AND ORTHOTICS (NPI# 1700026564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700026564
Entity Type Organization
Organization Name STELLAR PROSTHETICS AND ORTHOTICS
Practice Address 931 Buena Vista St Ste 304
Duarte
CA 91010-1714
Mailing Address 753 S Arroyo Pkwy
Suite 2
Pasadena
CA 91105-3902
Practice Telephone 6265840805
Practice Fax Number 6265840806
Mailing Telephone 6265840805
Mailing Fax Number 6265840806
Enumeration Date 2009-03-05
Last Update Date 2018-12-05
Authorized Official Name MR. SEAN L STELLAR (CEO)
Authorized Official Telephone 6265840805
Authorized Official Credential CPO
Is Organization Subpart Y
Parent Organization Name STELLAR PROSTHETICS & ORTHOTICS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA XC0001829 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205003563 Stellar Prosthetics and Orthotics Prosthetic/Orthotic Supplier 753 S Arroyo Pkwy, Suite 2, Pasadena, CA 91105-3902 2008-05-14

Office Location

Street Address 931 BUENA VISTA ST STE 304
City DUARTE
State CA
Zip Code 91010-1714

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386266849 Cheyenne King Student in an Organized Health Care Education/Training Program 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 2020-05-07
1114578028 Cristian Gonzalez Case Manager/Care Coordinator 2250 E Foothill Ave, Pasadena, CA 91010 2019-09-23
1366932378 Maisie Madrid Marriage & Family Therapist 1801 Huntington Drive, Duarte, CA 91010 2018-05-15
1598289571 Bertha Maria Torres Social Worker 938 E. Huntington Drive, Unit A, Duarte, CA 91010 2017-08-01
1598292286 Sheila Ramirez Occupational Therapy Assistant 2302 Citrus View Ave, Duarte, CA 91010 2017-05-12
1982059556 Patricia Mendoza Case Manager/Care Coordinator 2502 E.huntington Dr., Duarte, CA 91010 2016-05-02
1770966178 Sinziana Dumitra Surgery 1500 Durate Road California, Mob L001, Duarte, CA 91010 2015-07-02
1477940161 Jin Sun L Bitar Internal Medicine 1500 Duarte Rd # Wing4, Duarte, CA 91010 2015-04-20
1659625622 Jeanette Marie Petermann Nurse Practitioner 1036 East Huntington Drive, Duarte, CA 91010 2012-10-30
1649534397 Nathaniel J Khoe Dds. Inc Dentist 1016 Huntington Drive, Duarte, CA 91010 2012-06-27
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548718612 Prosthetic & Orthotic Group San Gabriel Valley, Inc Prosthetic/Orthotic Supplier 931 Buena Vista St Ste 105, Duarte, CA 91010 2016-09-16

Providers in the same taxonomy and state

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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Competitor

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City DUARTE
Zip Code 91010

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Dataset Information

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.

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