Organization Active NPI

Knee Brace Center

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1174581730
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KNEE BRACE CENTER
Doing business as
Knee Brace Center
Practice address
411 N Alice Way
Unit a
Anaheim, CA 92806-3704
Phone
(714) 630-5454
Fax
(714) 630-5454
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Authorized official

Name
George Robert Pearson
Title
Owner
Phone
(714) 630-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

411 N Alice Way
Unit a
Anaheim, CA 92806-3704

Mailing address

411 N Alice Way
Unit a
Anaheim, CA 92806-3704
Phone (714) 630-5454

Other names 1

  • Knee Brace Center 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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1174581730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N ALICE WAY",
            "address_2": "UNIT A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928063704",
            "telephone_number": "714-630-5454",
            "fax_number": "714-630-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N ALICE WAY",
            "address_2": "UNIT A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928063704",
            "telephone_number": "714-630-5454",
            "fax_number": "714-630-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEE BRACE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-630-5454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knee Brace Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.