Crown City Orthotics and Prosthetics LLC.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWN CITY ORTHOTICS AND PROSTHETICS LLC.

Practice address

2824 E Foothill Blvd
Pasadena, CA 91107-3400

Phone

(626) 431-2890

Fax

(626) 431-2892

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ryan P Molina, ORTHOTISTSNPI 1760813521

Title

Ceo/President of Company

Phone

(626) 432-2890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Molina Orthopedic Laboratories Inc. Former legal business name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

Practitioners 1

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

• Ryan P Molina, C.O.

  • Prosthetics Case Management
  • Pasadena, CA
  • NPI 1760813521
  NPD Authorized official

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1285269035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073400",
            "telephone_number": "626-431-2890",
            "fax_number": "626-431-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073400",
            "telephone_number": "626-431-2890",
            "fax_number": "626-431-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CITY ORTHOTICS AND PROSTHETICS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "626-432-2890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ORTHOTISTS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD ACCREDIDATION (ABC) ORTHOTIST",
            "identifier": "CO003823",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@crowncityortho.com",
            "affiliation": "N",
            "endpointDescription": "Orthotics & Prosthetic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Prosthetic",
            "address_1": "610 N Santa Anita Ave Ste 100",
            "city": "Arcadia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910062722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@crowncityortho.com",
            "affiliation": "N",
            "endpointDescription": "Crown City OandP LLC email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2824 E Foothill Blvd",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911073400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Molina Orthopedic Laboratories Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gavin Lee Cross
• Kevin Cross
• Ricky Crowder
• Crown City Adult Day Health Care Center Inc
• Crown City Medical Group, Inc.
• Crown City Rehabilitation Institute Inc
• Susanne E Crummey
• Amanda Cruse, MSW
• Kimberly Cruz Lopez
• Ariel Lauren Cruz

• 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 10, 2021; 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.