NPIMap

Organization Active NPI

Kickstart O&P, LLC

  • Prosthetic/Orthotic Supplier
  • Pleasant Hill, CA
National Provider Identifier
1285500033
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KICKSTART O&P, LLC
Practice address
401 Gregory LN Ste 136
Pleasant Hill, CA 94523-2836
Phone
(510) 996-4200
Fax
(510) 906-4557
NPI assigned
Oct 16, 2025
Organization subpart
Yes
Parent organization
KICKSTART O&P, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Tony L Lafrance, CPO
Title
Owner
Phone
(510) 996-4200

Specialties & licenses 1

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

Addresses

Primary practice location

401 Gregory LN Ste 136
Pleasant Hill, CA 94523-2836

Mailing address

4651 Telegraph Ave
Oakland, CA 94609-2021
Phone (510) 996-4200

Other names 1

  • Kickstart Orthotics and Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251227000284 CA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 8921434317 Practice locations: Pleasant Hill, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Kickstart Orthotics and Prosthetics401 Gregory LN, Pleasant Hill, CA 94523-2836(510) 996-4200 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Feb 4, 2020

National Provider Directory

National Provider Directory
Tax ID family
Kickstart Op LLC3 organizations share this tax ID, including this one
Part of
Kickstart Op LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 Gregory Ln
Ste 136
Pleasant Hill, CA 94523
Phone (510) 996-4200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1285500033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092021",
            "telephone_number": "510-996-4200",
            "fax_number": "510-906-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 136",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232836",
            "telephone_number": "510-996-4200",
            "fax_number": "510-906-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICKSTART O&P, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KICKSTART O&P, LLC",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "LAFRANCE",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-996-4200",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kickstart Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.