TIMOTHY D. BULGARELLI (NPI# 1952581563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952581563 |
| Entity Type | Organization |
| Organization Name | TIMOTHY D. BULGARELLI |
| Other Organization Name | PACIFIC PROSTHETICS & ORTHOTICS |
| Practice Address |
44404 16th St W Suite 108 Lancaster CA 93534-2839 |
| Mailing Address |
454 N Craig Ave Pasadena CA 91107-2460 |
| Practice Telephone | 6619747037 |
| Practice Fax Number | 6619747038 |
| Mailing Telephone | 6267937103 |
| Mailing Fax Number | 6267938332 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | TIMOTHY D BULGARELLI (OWNER) |
| Authorized Official Telephone | 6267937103 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO00731 | Suppliers |
| Other Name | Type Code |
|---|---|
| Pacific Prosthetics & Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689856833 | Timothy D. Bulgarelli | Prosthetic/Orthotic Supplier | 24811 San Fernando Rd, Suite O, Santa Clarita, CA 91321-4133 | 2007-11-29 |
| 1184811283 | Timothy D. Bulgarelli | Prosthetic/Orthotic Supplier | 454 N Craig Ave, Pasadena, CA 91107-2460 | 2007-10-02 |
| Street Address |
44404 16TH ST W SUITE 108 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902892441 | Rulon Deem Beesley | Ophthalmology | 44404 16th St W, Suite 102, Lancaster, CA 93534-2839 | 2005-09-20 |
| 1871068353 | Emishianna Mary Holmes | Student in an Organized Health Care Education/Training Program | 44404 16th St W, Lancaster, CA 93534-2839 | 2018-10-10 |
| 1780094573 | Rulon D. Beesley, M.d., P.C. | Ophthalmology | 44404 16th St W, Suite 102, Lancaster, CA 93534-2839 | 2014-05-01 |
| 1447553573 | Douglas B. Weber, Dds, A Dental Incorporation | Clinic/Center | 44404 16th St W, Suite 201, Lancaster, CA 93534-2839 | 2010-12-12 |
| 1306913066 | Rulon D Beesley | Eyewear Supplier (Equipment, not the service) | 44404 16th St W, Suite 102, Lancaster, CA 93534-2839 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1467658120 | Walkers Shoe Center Inc. | Prosthetic/Orthotic Supplier | 737 E Main St, Lancaster, OH 43130-3937 | 2007-06-21 |
| 1083756993 | Valley Institute of Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 44404 16th St W Ste 108, Lancaster, CA 93534-2839 | 2007-02-14 |
| 1093876278 | Pankow Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 5489 Broadway St, Lancaster, NY 14086-2219 | 2006-12-12 |
| 1174585079 | Lloyd-silber Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 315 W James St, Suite 101, Lancaster, PA 17603-2979 | 2006-04-05 |
| 1184699373 | Benchmark Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 1944 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-5903 | 2006-02-21 |
| 1780661264 | Rgd Enterprises Inc | Prosthetic/Orthotic Supplier | 2044 Fruitville Pike, Lancaster, PA 17601-3918 | 2005-12-27 |
| 1346646783 | Barbara Kilbourn's Healthy Boutique | Prosthetic/Orthotic Supplier | 43129 Sunny Ln, Lancaster, CA 93536-4688 | 2014-11-12 |
| 1497193932 | Lancaster General Hospital | Prosthetic/Orthotic Supplier | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | 2013-06-06 |
| 1215282835 | Prosthetic & Orthotic Institute Inc. | Prosthetic/Orthotic Supplier | 901 W Meeting St, Ste 102, Lancaster, SC 29720-6200 | 2012-07-19 |
| 1073523650 | Hanger Prosthetics & Orthotics East, Inc. | Prosthetic/Orthotic Supplier | 1228 Colonial Commons Ct, Lancaster, SC 29720-2200 | 2006-08-08 |
| Find all providers in LANCASTER | ||||
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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.