Individual provider Active NPI

Avijit Mitra, CPO

  • Prosthetist
  • Hemet, CA
National Provider Identifier
1326236365
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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 PastSince Dec 6, 2022 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.

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.

Verify at the official NPI Registry.