Organization Active NPI

Streamline Orthopedic, Inc.

  • Prosthetic/Orthotic Supplier
  • Roseville, CA
National Provider Identifier
1295077865
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STREAMLINE ORTHOPEDIC, INC.
Practice address
125 Ascot Dr Ste E
Roseville, CA 95661-3408
Phone
(916) 488-1478
Fax
(916) 488-1807
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Mike T Martinez, CONPI 1275704686
Title
President
Phone
(916) 488-1478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

125 Ascot Dr Ste E
Roseville, CA 95661-3408

Mailing address

125 Ascot Dr Ste E
Roseville, CA 95661-3408
Phone (916) 488-1478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131111001419 CA DME Supplier - Orthotic Personnel 2860628385 Practice locations: Roseville, CA

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
Streamline Orthopedic Inc125 Ascot Dr, Roseville, CA 95661-3408(916) 488-1478 Orthoses: Custom Fabricated|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Sep 26, 2013

National Provider Directory

National Provider Directory

Locations

125 Ascot Dr
Ste E
Roseville, CA 95661
Phone (916) 488-1478

1848 Fulton Ave
Sacramento, CA 95825
Phone (916) 488-1478

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1295077865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ASCOT DR STE E",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613408",
            "telephone_number": "916-488-1478",
            "fax_number": "916-488-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ASCOT DR STE E",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613408",
            "telephone_number": "916-488-1478",
            "fax_number": "916-488-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMLINE ORTHOPEDIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-488-1478",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.