Organization Active NPI

R and J Prosthetic Appliance Co.

  • Prosthetic/Orthotic Supplier
  • Ventura, CA
National Provider Identifier
1003804071
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ700802OtherCACALIF STATE I.D.
GFC000170MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20100930000966 CA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3971620683 Practice locations: Ventura, CA

National Provider Directory

National Provider Directory
Tax ID family
R and J Prosthetic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2407 E Main St
Ventura, CA 93003
Phone (805) 643-4063

Interoperability endpoints

  • Direct secure messaging: 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

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.

Verify at the official NPI Registry.