Essential Orthotics and Prosthetics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

32836 Issued in CA

Legal business name

ESSENTIAL ORTHOTICS AND PROSTHETICS INC

Practice address

360 Grand Cypress Ave
Suite 304
Palmdale, CA 93551-3646

Phone

(661) 723-3700

Fax

(661) 723-3799

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Michael J Metichecchia, CPONPI 1922230796

Title

Ceo

Phone

(661) 886-5828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Essential Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Palmdale, CA
  • NPI 1346569175

  O20170502000852

  Same enrollment

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

Locations

Practitioners 1

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

• Michael J. Metichecchia

  • Prosthetist
  • Palmdale, CA
  • NPI 1922230796

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1013440932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GRAND CYPRESS AVENUE",
            "address_2": "SUITE 304",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511416",
            "telephone_number": "661-723-3700",
            "fax_number": "661-723-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GRAND CYPRESS AVE",
            "address_2": "SUITE 304",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513646",
            "telephone_number": "661-723-3700",
            "fax_number": "661-723-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL ORTHOTICS AND PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "METICHECCHIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-886-5828",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "32836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Escoe
• Jennifer Escudero
• Magali Espinoza, RBT
• Vanessa Espinoza
• Essential Orthotics & Prosthetics
• Bran'D Hutalla Estella, DMD
• Elizabeth Sugapong Estrada-Federizo, M.D,
• Ivette Berenice Estrada
• Jasmine Estrada
• Sergio Alvaro Estrada

• Prosthetic/Orthotic Supplier in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.