Able Ortho Clinic Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ABLE ORTHO CLINIC INC

Practice address

1411 Rimpau Ave Ste 110
Corona, CA 92879-2681

Phone

(951) 531-8035

Fax

(951) 929-5033

NPI assigned

Nov 30, 2022

Last updated

Nov 30, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ABLE ORTHO CLINIC INCAs reported in NPPES

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

Authorized official

Name

Mr. Avi Mitra

Title

Owner / Ceo

Phone

(310) 561-2087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Able Ortho Clinic Inc

  • Prosthetic/Orthotic Supplier
  • Hemet, CA
  • NPI 1598290793

  0648545103

  Same PAC ID

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

Able Ortho Clinic Inc2 organizations share this tax ID, including this one

Part of

Able Ortho Clinic Inc

Other organizations with this tax ID 1

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

• Able Ortho Clinic Inc

  • Prosthetic/Orthotic Supplier
  • Hemet, CA
  • NPI 1598290793
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Able Ortho Clinic Inc

  • Prosthetic/Orthotic Supplier
  • Hemet, CA
  • NPI 1598290793
  NPPES parent name

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.

• Avijit Mitra, CPO

  • Prosthetist
  • Hemet, CA
  • NPI 1326236365
  NPD (past)

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1124738257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2982 MCDONALD LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818212",
            "telephone_number": "310-561-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 RIMPAU AVE STE 110",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792681",
            "telephone_number": "951-531-8035",
            "fax_number": "951-929-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE ORTHO CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABLE ORTHO CLINIC INC",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "310-561-2087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Abdelmalak
• Mark Abdelmlek
• Tseday Aberra, PSY.D.
• Solange Abhar, PMHNP-BC
• Mariel Gervacio Abisaab, LMFT
• Jelizaveta Aborneva, PSY.D.
• Angelina Cortez Abrazaldo
• Firas Abubaker, MD
• Maria Elena Acal, D.M.D.
• Accentcare Home Health of California, Inc.

• Prosthetic/Orthotic Supplier in Corona, CA
• Providers in Corona, 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 30, 2022; 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.