PAULS SHOE REPAIR AND SALES INC. (NPI# 1750573648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750573648 |
| Entity Type | Organization |
| Organization Name | PAULS SHOE REPAIR AND SALES INC. |
| Practice Address |
1102 S Glendale Ave Glendale CA 91205-3203 |
| Practice Telephone | 8185070314 |
| Practice Fax Number | 8185079962 |
| Mailing Telephone | 8185070314 |
| Mailing Fax Number | 8185079962 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MARTIROS MISHIDZHYAN (PRESIDENT) |
| Authorized Official Telephone | 8185070314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1102 S GLENDALE AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| 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 |
|---|---|---|---|---|
| 1346894227 | Alcam Medical Inc | Prosthetic/Orthotic Supplier | 3747 Foothill Blvd Ste B-1045, Glendale, CA 91214-1700 | 2019-07-29 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1316487226 | Precision Surgery, Inc. | Prosthetic/Orthotic Supplier | 5310 W Thunderbird Rd Ste 102, Glendale, AZ 85306-4709 | 2017-02-27 |
| 1235590423 | Bill Valentine Optical | Prosthetic/Orthotic Supplier | 524 E Glenoaks Blvd Ste D, Glendale, CA 91207-2140 | 2016-03-15 |
| 1417289836 | Rel Distributing Inc. | Prosthetic/Orthotic Supplier | 6802 W Frier Dr, Suite 3, Glendale, AZ 85303-1333 | 2010-02-10 |
| 1356404222 | Jesus Martinez | Prosthetic/Orthotic Supplier | 1207 Valley View Rd, Apt. D, Glendale, CA 91202-1745 | 2006-12-19 |
| 1407881980 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 102 Caruso Ave, Glendale, CA 91210-1563 | 2006-07-12 |
| 1306803218 | Creative Orthotic Laboratory | Prosthetic/Orthotic Supplier | 8608 N 59th Ave, Glendale, AZ 85302-5404 | 2006-04-26 |
| 1578839189 | Bross and Associates, LLC | Prosthetic/Orthotic Supplier | 450 N Brand Blvd, Glendale, CA 91203-2347 | 2012-03-28 |
| 1912283953 | Creative Orthotic Labs | Prosthetic/Orthotic Supplier | 8608 N 59th Ave, Glendale, AZ 85302-5404 | 2011-10-21 |
| Find all providers in GLENDALE | ||||
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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.