NPIMap

Organization Active NPI

West Coast Orthotic and Prosthetic

  • Prosthetic/Orthotic Supplier
  • Lodi, CA
National Provider Identifier
1073738563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WEST COAST ORTHOTIC AND PROSTHETIC
Practice address
1745 W Kettleman LN
Suite a
Lodi, CA 95242-9287
Phone
(209) 333-1148
Fax
(209) 333-0624
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Cree
Title
Contract Cordinator
Phone
(209) 845-8231

Specialties & licenses 1

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

Addresses

Primary practice location

1745 W Kettleman LN
Suite a
Lodi, CA 95242-9287

Mailing address

693 Hi Tech Pkwy
Oakdale, CA 95361-9372
Phone (209) 845-8231

National Provider Directory

National Provider Directory
Tax ID family
West Coast Orthotic and Prosthetic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073738563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 HI TECH PKWY",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619372",
            "telephone_number": "209-845-8231",
            "fax_number": "209-845-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W KETTLEMAN LN",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429287",
            "telephone_number": "209-333-1148",
            "fax_number": "209-333-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST ORTHOTIC AND PROSTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTRACT CORDINATOR",
        "authorized_official_telephone_number": "209-845-8231"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.