NPIMap

Organization Active NPI

Achilles Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Bakersfield, CA
National Provider Identifier
1124651971
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ACHILLES PROSTHETICS AND ORTHOTICS, INC
Practice address
8800 Stockdale Hwy Ste 100
Bakersfield, CA 93311-1012
Phone
(661) 369-8903
Fax
(661) 369-8904
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Mr. Anthony Carbajal
Title
Operations Manager
Phone
(661) 323-5944

Specialties & licenses 1

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

Addresses

Primary practice location

8800 Stockdale Hwy Ste 100
Bakersfield, CA 93311-1012

Mailing address

8800 Stockdale Hwy Ste 100
Bakersfield, CA 93311-1012
Phone (661) 369-8903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230126001541 CA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7315064755 Practice locations: Bakersfield, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Achilles Prosthetics and Orthotics8800 Stockdale Hwy, Bakersfield, CA 93311-1012(661) 369-8903 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Achilles Prosthetics5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2624 F St
Bakersfield, CA 93301
Phone (661) 323-5944

234 Heather Ct
Ste 101
Templeton, CA 93465
Phone (805) 434-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1124651971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 STOCKDALE HWY STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111012",
            "telephone_number": "661-369-8903",
            "fax_number": "661-369-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 STOCKDALE HWY STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111012",
            "telephone_number": "661-369-8903",
            "fax_number": "661-369-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHILLES PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "661-323-5944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.