Organization Active NPI

Inland Artificial Limb & Brace

  • Prosthetic/Orthotic Supplier
  • Norco, CA
National Provider Identifier
1215925797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
INLAND ARTIFICIAL LIMB & BRACE
Practice address
680 Parkridge Ave
Norco, CA 92860-3124
Phone
(951) 734-1835
Fax
(951) 734-1538
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Guy Savidan
Title
Owner
Phone
(951) 734-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CA Primary

Addresses

Primary practice location

680 Parkridge Ave
Norco, CA 92860-3124

Mailing address

680 Parkridge Ave
Norco, CA 92860-3124
Phone (951) 734-1835

Other identifiers 1

IdentifierTypeStateIssuer
GXC000870MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215925797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PARKRIDGE AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603124",
            "telephone_number": "951-734-1835",
            "fax_number": "951-734-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PARKRIDGE AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603124",
            "telephone_number": "951-734-1835",
            "fax_number": "951-734-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND ARTIFICIAL LIMB & BRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAVIDAN",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-734-1835",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.