Active NPI
Baldwin Orthotics & Prosthetics Inc
- Prosthetic/Orthotic Supplier
- Moreno Valley, CA
National Provider Identifier
1023302015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CO1677
- 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
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 ORTHOTISTS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Orthotist
- Moreno Valley, CA
- NPI 1346438819
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.