Organization Active NPI

Hara Orthotics and Prosthetics,Inc

  • Prosthetic/Orthotic Supplier
  • Fullerton, CA
National Provider Identifier
1346577160
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HARA ORTHOTICS AND PROSTHETICS,INC
Practice address
1343 W. Valencia Dr.
Suite E
Fullerton, CA 92833
Phone
(714) 525-1035
Fax
(714) 525-1046
NPI assigned
Nov 16, 2009
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Jeong Chuel KimNPI 1942432232
Title
President
Phone
(714) 525-1035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

1343 W. Valencia Dr.
Suite E
Fullerton, CA 92833

Mailing address

1343 W Valencia Dr
Suite E
Fullerton, CA 92833-4044
Phone (714) 525-1035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930018754 CA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4688874233 1 other NPI on this enrollment
Practice locations: Fullerton, CA

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hara Orthotics and Prosthetics1343 W Valencia Dr, Fullerton, CA 92833-4044(714) 525-1035 Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Somatic Prostheses|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Sep 16, 2009

National Provider Directory

National Provider Directory

Locations

1343 W Valencia Dr
Ste E
Fullerton, CA 92833
Phone (714) 525-1035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1346577160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 W VALENCIA DR",
            "address_2": "SUITE E",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334044",
            "telephone_number": "714-525-1035",
            "fax_number": "714-525-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 W. VALENCIA DR.",
            "address_2": "SUITE E",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "714-525-1035",
            "fax_number": "714-525-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARA ORTHOTICS AND PROSTHETICS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEONG CHUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-525-1035"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.