Ontario Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

P 1115 Issued in CA

Legal business name

ONTARIO PROSTHETICS

Practice address

12981 Perris Blvd Ste 101
Moreno Valley, CA 92553-4108

Phone

(951) 247-4140

Fax

(951) 247-4563

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Phillips, CP

Title

Owner

Phone

(951) 247-4140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124126628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12981 PERRIS BLVD STE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534108",
            "telephone_number": "951-247-4140",
            "fax_number": "951-247-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12981 PERRIS BLVD STE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534108",
            "telephone_number": "951-247-4140",
            "fax_number": "951-247-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-247-4140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "P 1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Omwanghe, M.C.D.,CCC-SLP
• On the Fly Nemt LLC
• Miles Christopher Ondoy, DO
• One Acupuncture Clinic Inc
• Amanda Onn
• Ogonna Onyemata
• Operation Safe House, Inc.
• Optometric Centers
• Opulence Hospice Care,Inc
• Miles Arnold Orantia, DO

• Prosthetic/Orthotic Supplier in Moreno Valley, CA
• Providers in Moreno Valley, 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.