Organization Active NPI

Channel Islands Prosthetics,Inc

Doing business as Channel Islands Prosthetics-Orthotics

  • Prosthetic/Orthotic Supplier
  • Oxnard, CA
National Provider Identifier
1124198114
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CHANNEL ISLANDS PROSTHETICS,INC
Doing business as
Channel Islands Prosthetics-Orthotics
Practice address
520 W 5TH St
Ste a
Oxnard, CA 93030-7025
Phone
(805) 486-5531
Fax
(805) 658-1824
NPI assigned
Nov 8, 2006
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. John Stephen McAtee, C.P.NPI 1639249766
Title
President
Phone
(805) 658-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

520 W 5TH St
Ste a
Oxnard, CA 93030-7025

Mailing address

520 W 5TH St
Ste a
Oxnard, CA 93030-7025
Phone (805) 486-5531

Other identifiers 1

IdentifierTypeStateIssuer
XB0013520MedicaidCA

Other names 1

  • Channel Islands Prosthetics-Orthotics Doing business as

National Provider Directory

National Provider Directory

Locations

520 W 5th St
Ste A
Oxnard, CA 93030
Phone (805) 486-5531

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1124198114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 5TH ST",
            "address_2": "STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307025",
            "telephone_number": "805-486-5531",
            "fax_number": "805-658-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 5TH ST",
            "address_2": "STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307025",
            "telephone_number": "805-486-5531",
            "fax_number": "805-658-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL ISLANDS PROSTHETICS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "MCATEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-658-1822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XB0013520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel Islands Prosthetics-Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.