Organization Active NPI

Preferred Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Burlingame, CA
National Provider Identifier
1053964254
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PREFERRED PROSTHETICS INC
Practice address
1740 Marco Polo Way Ste 10
Burlingame, CA 94010-4500
Phone
(650) 686-6985
Fax
(866) 355-5906
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Steven Charles Vera
Title
President
Phone
(209) 625-8450

Specialties & licenses 1

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

Addresses

Primary practice location

1740 Marco Polo Way Ste 10
Burlingame, CA 94010-4500

Mailing address

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

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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1053964254",
    "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": "1740 MARCO POLO WAY STE 10",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104500",
            "telephone_number": "650-686-6985",
            "fax_number": "866-355-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-625-8450"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.