Organization Active NPI

Stellar Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Pasadena, CA
National Provider Identifier
1205003563
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on May 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XC0001829MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.