DIABLO PROSTHETICS AND ORTHOTICS, INC (NPI# 1891083473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891083473 |
| Entity Type | Organization |
| Organization Name | DIABLO PROSTHETICS AND ORTHOTICS, INC |
| Practice Address |
5601 Norris Canyon Rd Suite 320 San Ramon CA 94583-5407 |
| Mailing Address |
Po Box 5268 Pleasanton CA 94566-0468 |
| Practice Telephone | 9255525100 |
| Practice Fax Number | 9255525109 |
| Mailing Telephone | 9254846400 |
| Mailing Fax Number | 9254846497 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | MS. KATHLEEN MARIE PELZ (CFO) |
| Authorized Official Telephone | 9255525100 |
| Authorized Official Credential | CO |
| 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 | 1891083473 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386930873 | Diablo Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 3700 Sunset Ln, Suite 6, Antioch, CA 94509-6199 | 2011-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIABLO PROSTHETICS AND ORTHOTICS, INC. | 4479 Stoneridge Dr Ste A, Pleasanton, CA 94588-8448 |
| Street Address |
5601 NORRIS CANYON RD SUITE 320 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445298 | Richard D Ash | Pediatrics | 5601 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5407 | 2005-05-24 |
| 1861935322 | University Healthcare Alliance | Internal Medicine | 5601 Norris Canyon Rd, Suite 300, San Ramon, CA 94583-5407 | 2016-11-30 |
| 1487102794 | Sandy Ly | Nurse Practitioner | 5601 Norris Canyon Rd, Suite 340, San Ramon, CA 94583-5407 | 2016-09-15 |
| 1831549419 | Sk Vein Clinic | Surgery | 5601 Norris Canyon Rd, Suite 240, San Ramon, CA 94583-5407 | 2016-06-15 |
| 1679942908 | John Muir Physician Network | Internal Medicine | 5601 Norris Canyon Rd, Suite 200, San Ramon, CA 94583-5407 | 2015-09-16 |
| 1124439260 | Sadaf Samizay | Obstetrics & Gynecology | 5601 Norris Canyon Rd, San Ramon, CA 94583-5407 | 2014-05-12 |
| 1790004638 | Jayaram S. Hariharan | Family Medicine | 5601 Norris Canyon Rd, #200, San Ramon, CA 94583-5407 | 2010-05-18 |
| 1598082778 | California Infection Control Consultants, Inc. | Internal Medicine | 5601 Norris Canyon Rd, Suite 220, San Ramon, CA 94583-5407 | 2010-04-27 |
| 1235463290 | Roy Medical Assoc Inc | Internal Medicine | 5601 Norris Canyon Rd, 340, San Ramon, CA 94583-5407 | 2009-09-23 |
| 1235368523 | Tsuling Chang M.d. A Professional Corporation | Dermatology | 5601 Norris Canyon Rd, San Ramon, CA 94583-5407 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1992891998 | Peter J Villalpando | Prosthetic/Orthotic Supplier | 2570 San Ramon Valley Blvd, Suite A105, San Ramon, CA 94583-1637 | 2006-10-05 |
| 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.