Organization Active NPI

Kevin E Calvo

Doing business as Bionics Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • San Diego, CA
National Provider Identifier
1144403056
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
1242 Issued in CA
Legal business name
KEVIN E CALVO
Doing business as
Bionics Orthotics & Prosthetics
Practice address
3737 Moraga Ave
Ste B107
San Diego, CA 92117-5300
Phone
(858) 270-9972
Fax
(858) 270-6560
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Mr. Kevin Edward Calvo, CPO, FAAOP
Title
Practitioner/Owner
Phone
(858) 270-9972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1242 CA Primary

Addresses

Primary practice location

3737 Moraga Ave
Ste B107
San Diego, CA 92117-5300

Mailing address

3737 Moraga Ave
Ste B107
San Diego, CA 92117-5300
Phone (858) 270-9972

Other identifiers 1

IdentifierTypeStateIssuer
XC0012490MedicaidCA

Other names 1

  • BIONICS ORTHOTICS & PROSTHETICS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1144403056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "STE B107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175300",
            "telephone_number": "858-270-9972",
            "fax_number": "858-270-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "STE B107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175300",
            "telephone_number": "858-270-9972",
            "fax_number": "858-270-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN E CALVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "858-270-9972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XC0012490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIONICS ORTHOTICS & PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.