Achilles Prosthetics and Orthotics, Inc
Organization Active NPI Prosthetic/Orthotic Supplier · San Luis Obispo, CA
NPI 1104063502 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1104063502
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ACHILLES PROSTHETICS AND ORTHOTICS, INC
- Practice address
- 842 California Blvd
San Luis Obispo, CA 93401-2902 - Phone
- (805) 541-3800
- Fax
- (805) 541-3818
- NPI assigned
- Jan 7, 2009
- Organization subpart
- No
Authorized official
- Name
- Daniel J Newton, B.S., F.A.C., C.P.
- Title
- President
- Phone
- (661) 323-5944
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
842 California Blvd
San Luis Obispo, CA 93401-2902
Mailing address
842 California Blvd
San Luis Obispo, CA 93401-2902
Phone (805) 541-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104063502 | Other | CA | CALIFORNIA CHILDREN SERVICES |
| 1104063502 | Other | CA | BLUE CROSS |
| 1104063502 | Medicaid | CA | |
| 199156400 | Other | CA | U.S. DEPARTMENT OF LABOR |
| 1104063502 | Other | MI | BLUE CROSS OF MICHIGAN |
| ZZZ57280Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 1104063502 | Other | TX | BLUE SHIELD OF TEXAS |
| 1104063502 | Other | MI | BLUE SHIELD OF MICHIGAN |
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- Mona Abutouk
- Laurence Ackerman
- Adam J. Janette, DDS Inc.
- Caden James Adams
- Christi Adams
- Jamie Lynn Adams
All providers in San Luis Obispo, CA · Prosthetic/Orthotic Supplier in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.