Organization Active NPI

Preferred Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Stockton, CA
National Provider Identifier
1033413075
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PREFERRED PROSTHETICS INC
Practice address
3215 N California St Ste 2
Stockton, CA 95204-3433
Phone
(209) 932-9746
Fax
(209) 932-9765
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Mr. Steve C Vera, ABC-CP, BOC-O
Title
President
Phone
(916) 896-5702

Specialties & licenses 1

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

Addresses

Primary practice location

3215 N California St Ste 2
Stockton, CA 95204-3433

Mailing address

3215 N California St Ste 2
Stockton, CA 95204-3433
Phone (209) 932-9746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110208000918 CA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 8921288929 Practice locations: Stockton, 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
Preferred Prosthetics Inc3215 N California St, Stockton, CA 95204-3433(209) 932-9746 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Dec 27, 2010

National Provider Directory

National Provider Directory
Tax ID family
Preferred Prosthetics Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1033413075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 N CALIFORNIA ST STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043433",
            "telephone_number": "209-932-9746",
            "fax_number": "209-932-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 N CALIFORNIA ST STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043433",
            "telephone_number": "209-932-9746",
            "fax_number": "209-932-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-896-5702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABC-CP, BOC-O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.