Organization Active NPI

Anchor Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
National Provider Identifier
1306911227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO2725 Issued in CA
Legal business name
ANCHOR ORTHOTICS & PROSTHETICS
Practice address
3838 Watt Ave Ste A110
Sacramento, CA 95821-2689
Phone
(916) 484-0685
Fax
(916) 484-0682
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Timmons
Title
Cfo
Phone
(530) 885-0981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CO2725 CA Primary

Addresses

Primary practice location

3838 Watt Ave Ste A110
Sacramento, CA 95821-2689

Mailing address

701 High St Ste 211
Auburn, CA 95603-4715
Phone (530) 885-0981

Other identifiers 1

IdentifierTypeStateIssuer
GXC000890MedicaidCA

National Provider Directory

National Provider Directory

Locations

701 High St
Ste 211
Auburn, CA 95603

3838 Watt Ave
Ste A110
Sacramento, CA 95821
Phone (916) 484-0685

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306911227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HIGH ST STE 211",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034715",
            "telephone_number": "530-885-0981",
            "fax_number": "530-885-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 WATT AVE STE A110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212689",
            "telephone_number": "916-484-0685",
            "fax_number": "916-484-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-885-0981"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CO2725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.