Aesthetic Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO01364 Issued in VA

Legal business name

AESTHETIC PROSTHETICS, INC.

Practice address

1095 N Allen Ave
Pasadena, CA 91104-3204

Phone

(626) 345-0050

Fax

(626) 345-0052

NPI assigned

Dec 30, 2010

Last updated

Dec 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stefan Johannes Knauss, MAMS, CPO

Title

President

Phone

(626) 345-0050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1245534510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 N ALLEN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043204",
            "telephone_number": "626-345-0050",
            "fax_number": "626-345-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 N ALLEN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043204",
            "telephone_number": "626-345-0050",
            "fax_number": "626-345-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "KNAUSS",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "JOHANNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-345-0050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAMS, CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "CPO01364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Pasadena, CA
• Providers in Pasadena, 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 Dec 30, 2010; 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.