Professional Orthopedic Systems of Auburn

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROFESSIONAL ORTHOPEDIC SYSTEMS OF AUBURN

Practice address

1237 Grass Valley Hwy
Auburn, CA 95603-3413

Phone

(530) 885-2712

Fax

(916) 331-3587

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Kim Tablada, C.P.O.

Title

Owner

Phone

(916) 331-3537

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1073567467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 COLLEGE OAK DR",
            "address_2": "SUITE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414630",
            "telephone_number": "916-331-3537",
            "fax_number": "916-331-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 GRASS VALLEY HWY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033413",
            "telephone_number": "530-885-2712",
            "fax_number": "916-331-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC SYSTEMS OF AUBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "TABLADA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-331-3537",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC000130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merrill Powers, MSW, LCSW
• Drake Preis, DC
• Abraham Jordan Priestley, DDS
• Debbie Prince, LCSW
• Prathima Prodduturi, M.D.
• Lynnel Queen, MA
• Raad Al-Shaikh MD Inc. (auburn/grass valley orthopaedic specialists)
• Radiological Associates of Sacramento Medical Group
• Radiological Associates of Sacramento Medical Group
• Radiological Associates of Sacramento Medical Group

• Prosthetic/Orthotic Supplier in Auburn, CA
• Providers in Auburn, 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 Jul 29, 2022; 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.