American Orthotics & Prosthetics, LLC.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

AMERICAN ORTHOTICS & PROSTHETICS, LLC.

Practice address

3714 Tibbetts St
Suite 104
Riverside, CA 92506-2661

Phone

(951) 367-6702

Fax

(951) 367-7789

NPI assigned

Jul 5, 2006

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David S. Sulis, CPONPI 1477733962

Title

Prosthetist Orthotist (Owner)

Phone

(951) 367-6702

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

American Orthotics Prosthetics2 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.

• American Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • San Bernardino, CA
  • NPI 1285965392
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Steven Sulis, CPO

  • Prosthetic/Orthotic Supplier
  • Riverside, CA
  • NPI 1477733962

  Customized Equipment

  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1104856806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2786",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925162786",
            "telephone_number": "951-367-6702",
            "fax_number": "951-367-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 TIBBETTS ST",
            "address_2": "SUITE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062661",
            "telephone_number": "951-367-6702",
            "fax_number": "951-367-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ORTHOTICS & PROSTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "SULIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROSTHETIST ORTHOTIST (OWNER)",
        "authorized_official_telephone_number": "951-367-6702",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0029550",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "CMS168487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Riverside, CA
• Providers in Riverside, 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 Nov 5, 2012; 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.