Organization Active NPI

Baldwin Orthotics & Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Moreno Valley, CA
National Provider Identifier
1023302015
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO1677 Issued in CA
Legal business name
BALDWIN ORTHOTICS & PROSTHETICS INC
Practice address
24475 Sunnymead Blvd
Moreno Valley, CA 92553-9313
Phone
(951) 824-7850
Fax
(951) 824-7851
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Harlan L Baldwin Jr., CERTIFIED ORTHOTISTSNPI 1346438819
Title
President/Ceo
Phone
(951) 824-7850

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 CO1677 CA Primary

Addresses

Primary practice location

24475 Sunnymead Blvd
Moreno Valley, CA 92553-9313

Mailing address

24475 Sunnymead Blvd
Moreno Valley, CA 92553-9313
Phone (951) 824-7850

National Provider Directory

National Provider Directory

Locations

24475 Sunnymead Blvd
Moreno Valley, CA 92553
Phone (951) 824-7850

Practitioners & affiliated clinicians

Practitioners 1

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": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1023302015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24475 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539313",
            "telephone_number": "951-824-7850",
            "fax_number": "951-824-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24475 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539313",
            "telephone_number": "951-824-7850",
            "fax_number": "951-824-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN ORTHOTICS & PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "951-824-7850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CERTIFIED ORTHOTISTS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CO1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.