Active NPI
R and J Prosthetic Appliance Co.
- Prosthetic/Orthotic Supplier
- Ventura, CA
National Provider Identifier
1003804071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- R AND J PROSTHETIC APPLIANCE CO.
- Practice address
- 2407 E Main St
Ventura, CA 93003-2603 - Phone
- (805) 643-4063
- Fax
- (805) 643-5876
- NPI assigned
- Oct 12, 2005
- Last updated
- May 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Logan M Newton, C.P.O.
- Title
- President/Owner
- Phone
- (805) 643-4063
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | CA | Primary |
Addresses
Primary practice location
2407 E Main St
Ventura, CA 93003-2603
Mailing address
2407 E Main St
Ventura, CA 93003-2603
Phone (805) 643-4063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ700802 | Other | CA | CALIF STATE I.D. |
| GFC000170 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ANTHONY@ACHILLESPO.COM | Direct | Achilles Prosthetics and Orthotics, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000966 | CA | DME Supplier - Orthotic Personnel | 3971620683 | Practice locations: Ventura, CA |
National Provider Directory
National Provider Directory- Tax ID family
- R and J Prosthetic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Channel Islands Prosthetics-Orthotics
- Prosthetic/Orthotic Supplier
- Ventura, CA
- NPI 1114632858
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Bakersfield, CA
- NPI 1124651971
Member Of
Locations
2407 E Main St
Ventura, CA 93003
Phone (805) 643-4063
Interoperability endpoints
- anthony@achillespo.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1003804071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 E MAIN ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032603",
"telephone_number": "805-643-4063",
"fax_number": "805-643-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 E MAIN ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032603",
"telephone_number": "805-643-4063",
"fax_number": "805-643-5876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R AND J PROSTHETIC APPLIANCE CO.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "LOGAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "805-643-4063",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF STATE I.D.",
"identifier": "ZZZ700802",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GFC000170",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ANTHONY@ACHILLESPO.COM",
"affiliation": "Y",
"endpointDescription": "WORK EMAIL",
"affiliationName": "Achilles Prosthetics and Orthotics, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2407 E Main St",
"city": "Ventura",
"state": "CA",
"country_code": "US",
"postal_code": "930032603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ventura, CA
- Briana Lenette Quintero
- Abraham Quinteros, LVN
- Jesse Quirino, ASW 95079
- Jacqueline Quitadamo
- Diane Marie Quitoriano, R.N., P.H.N.
- R and J Prosthetic Appliance Co. Inc. (Channel Islands Prosthetics-Orthotics)
- R F Ccollins & S Goodman PTRS
- R Malekzadeh, D.D.S., Inc.
- Angela Rabkin, M.D.
- Rachel Dittmar Marriage and Family Therapy, Inc. (The Therapy Cove)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.