Active NPI
Preferred Prosthetics Inc
- Prosthetic/Orthotic Supplier
- Burlingame, CA
National Provider Identifier
1053964254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Stockton, CA
- NPI 1033413075
-
- Prosthetic/Orthotic Supplier
- Lodi, CA
- NPI 1619243763
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.