Anders Orthopedic Prosthetic Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ANDERS ORTHOPEDIC PROSTHETIC INC

Practice address

1825 N Western Ave
Los Angeles, CA 90027-3403

Phone

(323) 461-4279

Fax

(323) 461-4279

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Johnny Dieter Anders

Title

Owner

Phone

(323) 461-4279

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1144378142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273403",
            "telephone_number": "323-461-4279",
            "fax_number": "323-461-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273403",
            "telephone_number": "323-461-4279",
            "fax_number": "323-461-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS ORTHOPEDIC PROSTHETIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "DIETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-461-4279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0009990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Andalon, MD
• Karla Lizette Andara
• Carl S Andaya, LCSW
• Lisa C. Andelin, MD
• Tomas Anderkvist, D.D.S.,INC.
• Elizabeth Ray Anders, PSY PHD
• Heidi Lynne Anders, PT, DPT
• Michelle Anders
• Gretchen Jane Andersen, PA.- C
• Tyler Andersen

• Customized Equipment (DME) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.