Active NPI
Avijit Mitra, CPO
- Prosthetist
- Hemet, CA
National Provider Identifier
1326236365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 475 W Stetson Ave Ste C
Hemet, CA 92543-7073 - Phone
- (951) 929-5000
- Fax
- (951) 929-5033
- NPI assigned
- Oct 3, 2007
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
475 W Stetson Ave Ste C
Hemet, CA 92543-7073
Mailing address
Able Ortho Clinic Inc
475 W. Stetson Ave. Suite C
Hemet, CA 92543-2631
Phone (951) 929-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Hills Prosthetic Services, Inc. | Orthotist | Current | Accepting new patients |
| Fontana Artificial Limb & Brace Inc. | Orthotist | Current | Accepting new patients |
| Able Ortho Clinic Inc | Past | Accepting new patients |
Locations
332 E Commonwealth Ave
Fullerton, CA 92832
Phone (714) 738-4769
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Fontana, CA
- NPI 1922104751
Orthotist
-
- Prosthetic/Orthotic Supplier
- Fullerton, CA
- NPI 1497992861
Orthotist
-
- Prosthetic/Orthotic Supplier
- Corona, CA
- NPI 1124738257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326236365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ABLE ORTHO CLINIC INC",
"address_2": "475 W. STETSON AVE. SUITE C",
"city": "HEMET",
"state": "CA",
"postal_code": "925432631",
"telephone_number": "951-929-5000",
"fax_number": "951-929-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W STETSON AVE STE C",
"city": "HEMET",
"state": "CA",
"postal_code": "925437073",
"telephone_number": "951-929-5000",
"fax_number": "951-929-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITRA",
"first_name": "AVIJIT",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.