Organization Active NPI

Anchor Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Stockton, CA
National Provider Identifier
1306350285
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ANCHOR ORTHOTICS AND PROSTHETICS, INC.
Practice address
2540 Pacific Ave
Stockton, CA 95204-4400
Phone
(209) 944-9990
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Terrence McDonald, CO
Title
President
Phone
(916) 484-0686

Specialties & licenses 1

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

Addresses

Primary practice location

2540 Pacific Ave
Stockton, CA 95204-4400

Mailing address

PO Box 300
Auburn, CA 95604-0300

Other identifiers 1

IdentifierTypeStateIssuer
GXC000890MedicaidCA

Other names 1

  • ANCHOR ORTHOTICS & PROSTHETICS, INC. Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2540 Pacific Ave
Stockton, CA 95204
Phone (209) 944-9990

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1306350285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956040300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952044400",
            "telephone_number": "209-944-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR ORTHOTICS AND PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-484-0686",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR ORTHOTICS & PROSTHETICS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.