Active NPI
Ped Negotium Inc.
- Durable Medical Equipment & Medical Supplies
- Brea, CA
National Provider Identifier
1013148238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- S1389
- Legal business name
- PED NEGOTIUM INC.
- Practice address
- 1220 Pioneer St Ste F
Brea, CA 92821-3712 - Phone
- (657) 229-3079
- Fax
- (714) 990-4060
- NPI assigned
- Aug 5, 2009
- Organization subpart
- Yes
- Parent organization
- PED NEGOTIUM INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Wolfe, C.PED.
- Title
- President
- Phone
- (714) 990-5932
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | S1389 | MD | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | C49909 | MD |
Addresses
Primary practice location
1220 Pioneer St Ste F
Brea, CA 92821-3712
Mailing address
1050 W Central Ave Ste D
Brea, CA 92821-2200
Phone (714) 990-5932
Other names 1
- Tenderfeet Shoes/InCare DME
National Provider Directory
National Provider Directory- Part of
- Ped Negotium Inc
Locations
1220 Pioneer St
Ste F
Brea, CA 92821
Phone (657) 229-3079
1050 W Central Ave
Ste D
Brea, CA 92821
Phone (714) 990-5932
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pedorthist
- Brea, CA
- NPI 1730578584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1013148238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W CENTRAL AVE STE D",
"city": "BREA",
"state": "CA",
"postal_code": "928212200",
"telephone_number": "714-990-5932",
"fax_number": "714-990-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 PIONEER ST STE F",
"city": "BREA",
"state": "CA",
"postal_code": "928213712",
"telephone_number": "657-229-3079",
"fax_number": "714-990-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PED NEGOTIUM INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PED NEGOTIUM INC.",
"enumeration_date": "2009-08-05",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-990-5932",
"authorized_official_credential": "C.PED."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "S1389",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MD",
"license": "C49909",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tenderfeet Shoes/InCare DME",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.