Pediatric Orthotic and Prosthetic Services-West,LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

930000150 Issued in CA

Legal business name

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC

Practice address

909 S Fair Oaks Ave
Pasadena, CA 91105-2625

Phone

(626) 389-9411

NPI assigned

Oct 7, 2014

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLCAs reported in NPPES

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

Authorized official

Name

Joanne Lynn Kanas, CPO

Title

Director

Phone

(813) 281-7184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pediatric Orthotic and Prosthetic Services-West, LLC

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
  • NPI 1811213549

  6103139860

  Same PAC ID
• Pediatric Orthotic and Prosthetic Services- West, LLC

  • Prosthetic/Orthotic Supplier
  • Salt Lake City, UT
  • NPI 1225430150

  6103139860

  Same PAC ID

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

Tax ID family

Pediatric Orthotic and Prosthetic Services-Westllc3 organizations share this tax ID, including this one

Part of

Pediatric Orthotic and Prosthetic Services-Westllc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Orthotic and Prosthetic Services-West, LLC

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
  • NPI 1811213549
  NPD tax ID
• Pediatric Orthotic and Prosthetic Services- West, LLC

  • Prosthetic/Orthotic Supplier
  • Salt Lake City, UT
  • NPI 1225430150
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1336639780

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediatric Orthotic and Prosthetic Services-West, LLC

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
  • NPI 1811213549
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Brewer, O.D.

  • Optometrist
  • Woodland Hills, CA
  • NPI 1811329824
  NPD

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1043613821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947109",
            "telephone_number": "813-367-2876",
            "fax_number": "813-518-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052625",
            "telephone_number": "626-389-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC",
        "enumeration_date": "2014-10-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "KANAS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-281-7184",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "930000150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Gair Pearson, M.D.
• Seanny Pech
• Amelia Frances Peck
• Edwin Cady Peck III, MD
• Jon-Patrik Pedersen, PH.D.
• Nelun Pedris, OD
• Eduardo Pedro
• Peeler Wellness TC
• Giovanna Pegolo, M.D.
• Pei C Vuong Chiropractor a Professional Corp (Origin Natural Care)

• Prosthetic/Orthotic Supplier in Pasadena, CA
• Providers in Pasadena, 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 Apr 23, 2025; 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.