Active NPI
Preferred Prosthetics Inc
- Prosthetic/Orthotic Supplier
- Stockton, CA
National Provider Identifier
1033413075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110208000918 | CA | DME Supplier - Prosthetic 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Preferred Prosthetics Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Preferred Prosthetics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Burlingame, CA
- NPI 1053964254
-
- Prosthetic/Orthotic Supplier
- Lodi, CA
- NPI 1619243763
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.