Bionics Orthotics and Prosthetics Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BIONICS ORTHOTICS AND PROSTHETICS INC.

Practice address

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

Phone

(858) 270-9972

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Brandon Calvo

Title

President

Phone

(858) 270-9972

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).

• Bionics Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • San Marcos, CA
  • NPI 1396312062

  8325442189

  Same PAC ID

Tax ID family

Bionics Orthotics and Prosthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bionics Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • San Marcos, CA
  • NPI 1396312062
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bionics Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • San Marcos, CA
  • NPI 1396312062
  NPPES parent name

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1144897018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175300",
            "telephone_number": "858-270-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175300",
            "telephone_number": "858-270-9972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1553 Grand Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782427",
            "country_code": "US",
            "telephone_number": "858-270-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIONICS ORTHOTICS AND PROSTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-270-9972"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in San Diego, CA
• Providers in San Diego, 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 Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.