Active NPI
American Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- San Bernardino, CA
National Provider Identifier
1285965392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CPO02649
- Legal business name
- AMERICAN ORTHOTICS & PROSTHETICS
- Practice address
- 1800 Western Ave Ste 205
San Bernardino, CA 92411-1356 - Phone
- (909) 473-9308
- Fax
- (951) 367-7789
- NPI assigned
- Jan 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Steven Sulis, CPO
- Title
- Cpo, Owner
- Phone
- (951) 367-6702
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | CPO02649 | CA | Primary |
Addresses
Primary practice location
1800 Western Ave Ste 205
San Bernardino, CA 92411-1356
Mailing address
PO Box 2786
Riverside, CA 92516-2786
Phone (909) 473-9308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XA0029550 | Medicaid | CA | |
| CMS168487 | Other | CA | CALIFORNIA CHILDRENS SERVICES |
National Provider Directory
National Provider Directory- Tax ID family
- American Orthotics Prosthetics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Riverside, CA
- NPI 1104856806
Locations
1800 Western Ave
Ste 205
San Bernardino, CA 92411
Phone (909) 473-9308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563408000000",
"number": "1285965392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2786",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925162786",
"telephone_number": "909-473-9308",
"fax_number": "951-367-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WESTERN AVE STE 205",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111356",
"telephone_number": "909-473-9308",
"fax_number": "951-367-7789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN ORTHOTICS & PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2019-07-18",
"status": "A",
"authorized_official_last_name": "SULIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "CPO, OWNER",
"authorized_official_telephone_number": "951-367-6702",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "CPO02649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XA0029550",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA CHILDRENS SERVICES",
"identifier": "CMS168487",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Chiemelum Amechi, MD
- Amerian Healthcare
- American Current Care of California, a Medical Corporation
- American Current Care of California, a Medical Corporation
- American Medical Specialties Inc
- American Orthotics & Prosthetics
- American V Outreach, Inc.
- Augustine J Amerigo I, D.C.
- Amery Consulting Inc.
- Laura Amezcua
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.