Orthopaedic Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44124 Issued in CA

Legal business name

ORTHOPAEDIC MEDICAL SUPPLIES, INC.

Practice address

770 Magnolia Ave
Suite 1H
Corona, CA 92879-3120

Phone

(951) 549-9696

Fax

(951) 808-9952

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Richard Debence, OTC

Title

Ceo/Officer

Phone

(951) 549-9696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1235235391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 1H",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-549-9696",
            "fax_number": "951-808-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 1H",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-549-9696",
            "fax_number": "951-808-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "DEBENCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO/OFFICER",
        "authorized_official_telephone_number": "951-549-9696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ortega
• Jessica Ortega
• Marina Ortega, LVN
• Maxine Ortega
• Nicolas Xavier Ortega
• Orthopedic Institute Inc
• Ortiz Chiropractic a Professional Corporation
• Abril Ortiz Menendez
• Shirley Ortiz-Luis
• Elizabeth Ortiz

• Durable Medical Equipment & Medical Supplies in Corona, CA
• Providers in Corona, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.