Saint Crispin's Orthopedic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SAINT CRISPIN'S ORTHOPEDIC

Practice address

12830 Rosecrans Ave
Norwalk, CA 90650-4416

Phone

(562) 802-2477

Fax

(562) 404-1678

NPI assigned

May 20, 2006

Last updated

Aug 22, 2020By 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

Mr. Michael C Pavelski, CPO

Title

President

Phone

(562) 802-2477

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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.

• Richard Myers, CP

  • Prosthetist
  • Santa Ana, CA
  • NPI 1922387158
  NPD
• Johnathon Merica, CO

  • Orthotist
  • Santa Ana, CA
  • NPI 1477227262
  NPD (past)
• Mackinley Spencer Burrell, CP

  • Prosthetist
  • Anthem, AZ
  • NPI 1376217141
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114971520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504416",
            "telephone_number": "562-802-2477",
            "fax_number": "562-404-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504416",
            "telephone_number": "562-802-2477",
            "fax_number": "562-404-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CRISPIN'S ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAVELSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-802-2477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XC0019900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS IDENTIFICATION NUMBER",
            "identifier": "CMS200045",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IDENT. NO.",
            "identifier": "ZZZ85855Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Victoria Saguin, LVN
• Sahawaneh Dental Corporaton (Bright Now Dental - Norwalk)
• Sahawneh Dental Corporation (Bright Now Dental - Norwalk)
• Sahawneh Dental Corporation (Bright Now Dental - Norwalk Rosecrans)
• Sahawneh Dental Corporation (Bright Now Dental - Norwalk Imperial)
• Saint John Medical Transport
• Sal Psychiatry Services PC (Sal Rediscovery Center)
• Sal Psychiatry Services PC
• Aida Salatinjants, M.D.
• Ana Maria Salazar Gutierrez, L.C.S.W.

• Prosthetic/Orthotic Supplier in Norwalk, CA
• Providers in Norwalk, 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 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.