Organization Active NPI

Vogue Prosthetic Orthotic Center, Inc

  • Durable Medical Equipment & Medical Supplies
  • Thousand Oaks, CA
National Provider Identifier
1346420288
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VOGUE PROSTHETIC ORTHOTIC CENTER, INC
Practice address
325 E Hillcrest Dr Ste 145
Thousand Oaks, CA 91360-7721
Phone
(805) 496-1660
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Brian M Cronin
Title
Director
Phone
(626) 445-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

325 E Hillcrest Dr Ste 145
Thousand Oaks, CA 91360-7721

Mailing address

325 E Hillcrest Dr Ste 145
Thousand Oaks, CA 91360-7721
Phone (805) 496-1660

Other identifiers 1

IdentifierTypeStateIssuer
GXC000550MedicaidCA

National Provider Directory

National Provider Directory

Locations

101 Hodencamp Rd
Ste 214
Thousand Oaks, CA 91360
Phone (805) 495-2453

325 E Hillcrest Dr
Ste 145
Thousand Oaks, CA 91360
Phone (805) 496-1660

101 Hodencamp Rd
Ste 107
Thousand Oaks, CA 91360
Phone (805) 496-1660

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1346420288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 145",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607721",
            "telephone_number": "805-496-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 145",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607721",
            "telephone_number": "805-496-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOGUE PROSTHETIC ORTHOTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-445-7797"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.