SMART PROSTHETICS ORTHOTICS INC (NPI# 1962665802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962665802 |
| Entity Type | Organization |
| Organization Name | SMART PROSTHETICS ORTHOTICS INC |
| Other Organization Name | VALLEY ORTHOPEDIC TECHNOLOGY |
| Practice Address |
1407 N Vermont Ave Suite B Los Angeles CA 90027-6023 |
| Mailing Address |
Po Box 29568 Los Angeles CA 90029-0568 |
| Practice Telephone | 3236621100 |
| Mailing Telephone | 3236621100 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-03-24 |
| Authorized Official Name | MR. BRYAN SETH POTOK (PRESIDENT) |
| Authorized Official Telephone | 3236621100 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Valley Orthopedic Technology | Doing Business As Name - Organization |
| Street Address |
1407 N VERMONT AVE SUITE B |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614216 | Arjang Naim | Obstetrics & Gynecology | 1407 N Vermont Ave, A, Los Angeles, CA 90027-6023 | 2005-10-28 |
| 1891833182 | Arjang Naim, Md, Inc. | Obstetrics & Gynecology | 1407 N Vermont Ave, A, Los Angeles, CA 90027-6023 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| 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 |
|---|---|---|---|---|
| 1154986750 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 3407 W 6th St Ste 815, Los Angeles, CA 90020-2555 | 2019-05-08 |
| 1952765711 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA 90033 | 2016-04-07 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1467580423 | Miss Stevens for Lingerie | Prosthetic/Orthotic Supplier | 2235 S Sepulveda Blvd, Los Angeles, CA 90064-1811 | 2007-03-01 |
| 1568509669 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1830 W Olympic Blvd, Suite #123, Los Angeles, CA 90006-3734 | 2007-01-30 |
| 1316963770 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 189 The Grove Dr Ste P80, Los Angeles, CA 90036-6229 | 2006-07-15 |
| 1598790081 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 10830 W Pico Blvd, Los Angeles, CA 90064-2106 | 2006-07-12 |
| 1598799090 | Action Orthopedic Company, LLC | Prosthetic/Orthotic Supplier | 1515 Wilshire Blvd Unit 3, Los Angeles, CA 90017-2216 | 2006-07-10 |
| 1639125081 | Ortho Engineering Inc | Prosthetic/Orthotic Supplier | 1436 S La Cienega Blvd Ste 102, Los Angeles, CA 90035-3764 | 2006-05-26 |
| 1508855776 | Global Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 2021 W Florence Ave, Los Angeles, CA 90047 | 2005-10-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on SMART PROSTHETICS ORTHOTICS INC.
| 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.