FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC. (NPI# 1750707055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750707055 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC. |
| Other Organization Name | FOUNTAIN ORTHOTICS & PROSTHETICS |
| Practice Address |
2151 N. Harbor Blvd. Suite 1200 Fullerton CA 92835-3821 |
| Mailing Address |
16520 Harbor Blvd Suite G Fountain Valley CA 92708-1360 |
| Practice Telephone | 7148719960 |
| Practice Fax Number | 7148719965 |
| Mailing Telephone | 7142101298 |
| Mailing Fax Number | 7142101336 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | MR. LOREN ROJEK (PRESIDENT) |
| Authorized Official Telephone | 7142101298 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Fountain Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968796 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3650 South St Ste 110b, Lakewood, CA 90712-1502 | 2018-07-12 |
| 1720573496 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 500 E Willow St, Long Beach, CA 90806-3115 | 2018-06-26 |
| 1225032576 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 351 Hospital Rd, Suite 106, Newport Beach, CA 92663-3503 | 2005-06-01 |
| 1528060662 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 16520 Harbor Blvd, Suite G, Fountain Valley, CA 92708-1360 | 2005-06-01 |
| 1790092237 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 25982 Pala, Suite 100, Mission Viejo, CA 92691-6719 | 2010-09-03 |
| Street Address |
2151 N. HARBOR BLVD. SUITE 1200 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1578566816 | Sunny Hills Orthopedic Services Inc. | Prosthetic/Orthotic Supplier | 332 E Commonwealth Ave, Fullerton, CA 92832-2017 | 2005-05-31 |
| 1275180408 | Alcam Medical Inc | Prosthetic/Orthotic Supplier | 300 N Euclid St, Fullerton, CA 92832-1623 | 2019-08-22 |
| 1497992861 | Sunny Hills Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 332 E Commonwealth Ave, Fullerton, CA 92832-2017 | 2009-01-07 |
| 1164612131 | Nathan Ryan Lee | Prosthetic/Orthotic Supplier | 810 E Chapman Ave, Suite C, Fullerton, CA 92831-3850 | 2007-07-26 |
| 1891873006 | Limb Craft, Inc. | Prosthetic/Orthotic Supplier | 810 E Chapman Ave, Suite C, Fullerton, CA 92831-3850 | 2006-11-02 |
| 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 | ||||
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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.