NPIMap

Organization Active NPI

Spectrum Prosthetics & Orthotics of Redding, Inc.

  • Prosthetic/Orthotic Supplier
  • Red Bluff, CA
National Provider Identifier
1013173848
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SPECTRUM PROSTHETICS & ORTHOTICS OF REDDING, INC.
Practice address
1399 Montgomery Rd
Red Bluff, CA 96080-4604
Phone
(530) 528-2200
Fax
(530) 528-2290
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ivan Sabel
Title
Ceo
Phone
(541) 734-2435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1399 Montgomery Rd
Red Bluff, CA 96080-4604

Mailing address

1844 South St
Redding, CA 96001-1809
Phone (530) 243-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016997 CA DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1254541501 Practice locations: Red Bluff, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Spectrum Prosthetics and Orthotics1399 Montgomery Road, Red Bluff, CA 96080-4604(530) 528-2200 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 3, 2005

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Prosthetics Orthotics of Redding Inc2 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.

Locations

1399 Montgomery Rd
Red Bluff, CA 96080
Phone (530) 528-2200

1844 South St
Redding, CA 96001
Phone (530) 243-4500

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1013173848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SOUTH ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011809",
            "telephone_number": "530-243-4500",
            "fax_number": "530-243-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 MONTGOMERY RD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804604",
            "telephone_number": "530-528-2200",
            "fax_number": "530-528-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PROSTHETICS & ORTHOTICS OF REDDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-734-2435"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.