NPIMap

Organization Active NPI

Quality Care Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Anaheim, CA
National Provider Identifier
1336456193
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
BUS2010-02405 Issued in CA
Legal business name
QUALITY CARE PROSTHETICS & ORTHOTICS, INC.
Doing business as
QUALITY CARE PROSTHETICS & ORTHOTICS, INC.
Practice address
1665 W Katella Ave
Anaheim, CA 92802-3021
Phone
(714) 643-9206
Fax
(714) 643-9467
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Mr. Dennis Lee Myers I, C.P.O.
Title
Owner
Phone
(714) 342-0833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X BUS2010-02405 CA Primary

Addresses

Primary practice location

1665 W Katella Ave
Anaheim, CA 92802-3021

Mailing address

1665 W Katella Ave
Anaheim, CA 92802-3021
Phone (714) 643-9206

Other identifiers 1

IdentifierTypeStateIssuer
1134349806OtherCANPI

Other names 1

  • QUALITY CARE PROSTHETICS & ORTHOTICS, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130418000165 CA DME Supplier - Certified Orth/Pros/Pedorthist 6800032822 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1336456193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023021",
            "telephone_number": "714-643-9206",
            "fax_number": "714-643-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023021",
            "telephone_number": "714-643-9206",
            "fax_number": "714-643-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-342-0833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "BUS2010-02405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134349806",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY CARE PROSTHETICS & ORTHOTICS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.