Empire Prosthetic & Orthotic Center

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO02310 Issued in CA

Legal business name

EMPIRE PROSTHETIC & ORTHOTIC CENTER

Practice address

16471 Victor St
Victorville, CA 92395-3942

Phone

(760) 955-8855

Fax

(760) 955-7799

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Robert F Habeger Jr., CPO

Title

Ceo, President

Phone

(760) 955-8855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316028848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16471 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953942",
            "telephone_number": "760-955-8855",
            "fax_number": "760-955-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16471 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953942",
            "telephone_number": "760-955-8855",
            "fax_number": "760-955-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PROSTHETIC & ORTHOTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABEGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "760-955-8855",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CPO02310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0157280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arianne Lindsay Ellison, M.S.
• Cyndee J Elwood, MFT
• Dorien Emanuel, PSYD
• Emil Zakhary DDS Inc
• Empire Medical Center
• Abdul Shukoor Enayat, M.D.
• Nigar Enayat, M.D.
• Lisa Marie Engelhardt, PA
• Jakelyn Maria Enriquez
• Amethyst Entsuah

• Prosthetic/Orthotic Supplier in Victorville, CA
• Providers in Victorville, CA by specialty
• Prosthetic/Orthotic Supplier in California

• 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.