Pioneer Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PIONEER ORTHOTICS AND PROSTHETICS

Practice address

665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836

Phone

(949) 945-9606

Fax

(949) 945-9604

NPI assigned

Jul 1, 2025

Organization subpart

No

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

Authorized official

Name

Darya Amirshahrokhi

Title

Ceo

Phone

(949) 945-9606

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).

• Pioneer Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Lake Forest, CA
  • NPI 1922590074

  0840530911

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Pioneer Orthotics and Prosthetics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pioneer Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Santa Ana, CA
  • NPI 1457220360
  NPD tax ID
• Pioneer Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Lake Forest, CA
  • NPI 1922590074
  NPD tax ID

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1205725629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926090546",
            "telephone_number": "949-945-9606",
            "fax_number": "949-945-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 203A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-945-9606",
            "fax_number": "949-945-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "AMIRSHAHROKHI",
        "authorized_official_first_name": "DARYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-945-9606"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Pichika
• Ashton Pickle, DPT
• Kenneth B. Pierce, D.O.
• Juliette Carol Louise Pineda, LMFT
• Pinnacle Wound Care
• Amir Pirouzian, M.D.
• Macee Elizabeth Pittman
• Savannah Pittman
• Josie Plummer
• Danielle Nicole Portney, MA, LMFT

• Prosthetic/Orthotic Supplier in San Clemente, CA
• Providers in San Clemente, 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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.