Prosthetic & Orthotic Group, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC & ORTHOTIC GROUP, INC

Practice address

2669 Myrtle Ave
Ste 101
Signal Hill, CA 90755

Phone

(562) 595-6445

Fax

(562) 424-3122

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(562) 595-6445

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prosthetic & Orthotic Group, Inc

  • Prosthetic/Orthotic Supplier
  • Torrance, CA
  • NPI 1205353463

  9032221320

  Same PAC ID
• Prosthetic & Orthotic Group, Inc

  • Prosthetic/Orthotic Supplier
  • Whittier, CA
  • NPI 1497893788

  9032221320

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Prosthetic Orthotic Group2 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.

• Prosthetic & Orthotic Group, Inc

  • Prosthetic/Orthotic Supplier
  • Torrance, CA
  • NPI 1205353463
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David F. Cooney, CPO

  • Orthotist
  • Culver City, CA
  • NPI 1740843663
  NPD (past)
• Alyssa Goldberg, CPO

  • Orthotist
  • Signal Hill, CA
  • NPI 1881204063
  NPD (past)
• Rudy B. Parada, CPO

  • Orthotist
  • Culver City, CA
  • NPI 1578032553
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1073569554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 MYRTLE AVE STE 101",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552746",
            "telephone_number": "562-595-6445",
            "fax_number": "562-424-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 MYRTLE AVE",
            "address_2": "STE 101",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "90755",
            "telephone_number": "562-595-6445",
            "fax_number": "562-424-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-595-6445"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jake Pham, PT
• Nancy Thuy Pham
• Amanda Preston, OTR/L
• Procare Professional Services Inc.
• Promedix Ve LLC
• Gary Stephen Puckett, PH.D.
• Augustine Quejado
• Alejandro Quirarte, LEP
• Ruby Quiroz
• Saousan Ramadan

• Prosthetic/Orthotic Supplier in Signal Hill, CA
• Providers in Signal Hill, 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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.