Essential Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C46460 Issued in CA

Legal business name

ESSENTIAL ORTHOTICS & PROSTHETICS

Practice address

41758 12TH St W Ste a
Palmdale, CA 93551-1421

Phone

(661) 723-3700

Fax

(661) 723-3799

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Michael J. MetichecchiaNPI 1922230796

Title

President

Phone

(661) 886-5828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Essential Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Palmdale, CA
  • NPI 1013440932

  O20170502000852

  Same enrollment

Locations

Practitioners 1

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

• Michael J. Metichecchia

  • Prosthetist
  • Palmdale, CA
  • NPI 1922230796
  NPD Authorized official

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346569175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GRAND CYPRESS AVE",
            "address_2": "UNIT 304",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511422",
            "telephone_number": "661-723-3700",
            "fax_number": "661-723-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41758 12TH ST W STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511421",
            "telephone_number": "661-723-3700",
            "fax_number": "661-723-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "METICHECCHIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-886-5828"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C46460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Jared Escobar, RN
• Amber Escoe
• Jennifer Escudero
• Magali Espinoza, RBT
• Vanessa Espinoza
• Essential Orthotics and Prosthetics Inc
• Bran'D Hutalla Estella, DMD
• Elizabeth Sugapong Estrada-Federizo, M.D,
• Ivette Berenice Estrada
• Jasmine Estrada

• Prosthetic/Orthotic Supplier in Palmdale, CA
• Providers in Palmdale, 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 Jul 21, 2022; 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.