Active NPI
Robert Busuttil
- Prosthetic/Orthotic Supplier
- Pomona, CA
National Provider Identifier
1043751837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Pomona, CA
- NPI 1710390083
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.