Timothy D. Bulgarelli

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO00731

Legal business name

TIMOTHY D. BULGARELLI

Practice address

454 N Craig Ave
Pasadena, CA 91107-2460

Phone

(626) 793-7103

Fax

(626) 793-8332

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Emma Richardson

Title

Office Manager

Phone

(626) 793-7103

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Prosthetics & Orthotics Doing business as

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1184811283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 N CRAIG AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072460",
            "telephone_number": "626-793-7103",
            "fax_number": "626-793-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 N CRAIG AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072460",
            "telephone_number": "626-793-7103",
            "fax_number": "626-793-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D. BULGARELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-793-7103"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CPO00731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ42904Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Pasadena, CA
• Providers in Pasadena, 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 Oct 17, 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.