Anacapa Prosthetic and Orthotic Lab

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ANACAPA PROSTHETIC AND ORTHOTIC LAB

Practice address

2300 Knoll Dr
Unit D
Ventura, CA 93003-8057

Phone

(805) 658-1388

Fax

(805) 658-2636

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Robert ChaconNPI 1114192796

Title

President

Phone

(805) 216-2635

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Chacon, C.O.

  • Orthotist
  • Ventura, CA
  • NPI 1114192796
  NPD (past) Authorized official

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1255329736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 PIERCE ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032586",
            "telephone_number": "805-216-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 KNOLL DR",
            "address_2": "UNIT D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038057",
            "telephone_number": "805-658-1388",
            "fax_number": "805-658-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACAPA PROSTHETIC AND ORTHOTIC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-216-2635"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMS160156",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFA000040",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255329736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Paul Amis, PA-C
• Albert E Amorteguy, MD
• Julia Amundsen
• Jason Amurao, FNP-BC
• Alex An, MD
• Beena Anantharaman, M.D.
• Perla Anastacio, RBT
• Robert Anders
• Carrie Anderson, PA-C
• Erin Anderson, P.T.

• Prosthetic/Orthotic Supplier in Ventura, CA
• Providers in Ventura, 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 May 6, 2024; 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.