Active NPI
Kolman Prosthetics Orthotics,Inc.
- Prosthetic/Orthotic Supplier
- Whittier, CA
National Provider Identifier
1306861232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GFC000150 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930018503 | CA | DME Supplier - Orthotic Personnel | 2163549791 | Practice locations: Whittier, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthotist
- Whittier, CA
- NPI 1013236553
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.