Organization Active NPI

Kolman Prosthetics Orthotics,Inc.

  • Prosthetic/Orthotic Supplier
  • Whittier, CA
National Provider Identifier
1306861232
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KOLMAN PROSTHETICS ORTHOTICS,INC.
Practice address
7633 Greenleaf Ave
Whittier, CA 90602-1626
Phone
(562) 698-0988
Fax
(562) 696-8791
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Mr. Alejandro Joseph Freire, C.P.NPI 1295766020
Title
Certified Proshtetist
Phone
(562) 698-0988

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

7633 Greenleaf Ave
Whittier, CA 90602-1626

Mailing address

7633 Greenleaf Ave
Whittier, CA 90602-1626
Phone (562) 698-0988

Other identifiers 1

IdentifierTypeStateIssuer
GFC000150MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930018503 CA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 2163549791 Practice locations: Whittier, CA

National Provider Directory

National Provider Directory

Locations

7633 Greenleaf Ave
Whittier, CA 90602
Phone (562) 698-0988

Practitioners & affiliated clinicians

Practitioners 2

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1306861232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021626",
            "telephone_number": "562-698-0988",
            "fax_number": "562-696-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021626",
            "telephone_number": "562-698-0988",
            "fax_number": "562-696-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLMAN PROSTHETICS ORTHOTICS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "FREIRE",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CERTIFIED PROSHTETIST",
        "authorized_official_telephone_number": "562-698-0988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC000150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.