Active NPI
Anchor Orthotics and Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Stockton, CA
National Provider Identifier
1306350285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXC000890 | Medicaid | CA |
Other names 1
- ANCHOR ORTHOTICS & PROSTHETICS, INC.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Auburn, CA
- NPI 1194717520
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Redwood City, CA
- NPI 1053798454
Member Of
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.