Organization Active NPI

Elite Biomechanical Design

  • Prosthetic/Orthotic Supplier
  • Oroville, CA
National Provider Identifier
1013275874
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ELITE BIOMECHANICAL DESIGN
Practice address
2208 5TH Ave
Oroville, CA 95965-5816
Phone
(530) 534-6913
Fax
(530) 533-4617
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Mr. Michael Patrick Casey, BOCONPI 1073735981
Title
Ceo, Cfo
Phone
(530) 894-6913

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 1

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

Addresses

Primary practice location

2208 5TH Ave
Oroville, CA 95965-5816

Mailing address

9 Governors LN
Chico, CA 95926-1991
Phone (530) 894-6913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121107000316 CA DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 2466642764 Practice locations: Oroville, 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
Elite Biomechanical Design2208 5TH Ave, Oroville, CA 95965-5816(530) 534-6913 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Elite Biomechanical Design3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9 Governors Ln
Chico, CA 95926
Phone (530) 894-6313

2208 5th Ave
Oroville, CA 95965
Phone (530) 534-6913

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1013275874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GOVERNORS LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261991",
            "telephone_number": "530-894-6913",
            "fax_number": "530-894-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655816",
            "telephone_number": "530-534-6913",
            "fax_number": "530-533-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BIOMECHANICAL DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "530-894-6913",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.