Active NPI
Stellar Prosthetics and Orthotics
- Prosthetic/Orthotic Supplier
- Pasadena, CA
National Provider Identifier
1205003563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- STELLAR PROSTHETICS AND ORTHOTICS
- Practice address
- 753 S Arroyo Pkwy
Suite 2
Pasadena, CA 91105-3902 - Phone
- (626) 584-0805
- Fax
- (626) 584-0806
- NPI assigned
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Stellar, CPO
- Title
- Ceo
- Phone
- (626) 584-0805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
753 S Arroyo Pkwy
Suite 2
Pasadena, CA 91105-3902
Mailing address
753 S Arroyo Pkwy
Suite 2
Pasadena, CA 91105-3902
Phone (626) 584-0805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XC0001829 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
753 S Arroyo Pkwy
Ste 120
Pasadena, CA 91105
Phone (626) 445-7797
Ownership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Temecula, CA
- NPI 1124602743
-
- Prosthetic/Orthotic Supplier
- Los Alamitos, CA
- NPI 1518105840
-
- Prosthetic/Orthotic Supplier
- Ontario, CA
- NPI 1700026564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1205003563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 S ARROYO PKWY",
"address_2": "SUITE 2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053902",
"telephone_number": "626-584-0805",
"fax_number": "626-584-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 S ARROYO PKWY",
"address_2": "SUITE 2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053902",
"telephone_number": "626-584-0805",
"fax_number": "626-584-0806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLAR PROSTHETICS AND ORTHOTICS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "STELLAR",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-584-0805",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XC0001829",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.