Organization Active NPI

Robert Busuttil

  • Prosthetic/Orthotic Supplier
  • Pomona, CA
National Provider Identifier
1043751837
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ROBERT BUSUTTIL
Practice address
319 E Foothill Blvd
Pomona, CA 91767-1405
Phone
(909) 392-0812
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mr. Robert Leonard Busuttil, ABC/BOC
Title
Certified Orthotist/Prosthetist
Phone
(909) 392-0812

Specialties & licenses 1

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

Addresses

Primary practice location

319 E Foothill Blvd
Pomona, CA 91767-1405

Mailing address

319 E Foothill Blvd
Pomona, CA 91767-1405
Phone (909) 392-0812

National Provider Directory

National Provider Directory
Tax ID family
Quality Orthotics Prosthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

319 E Foothill Blvd
Pomona, CA 91767
Phone (909) 392-0812

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1043751837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E FOOTHILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671405",
            "telephone_number": "909-392-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E FOOTHILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671405",
            "telephone_number": "909-392-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BUSUTTIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BUSUTTIL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST/PROSTHETIST",
        "authorized_official_telephone_number": "909-392-0812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABC/BOC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.