Organization Active NPI

Adept Prosthetics

  • Customized Equipment (DME)
  • Santa Ana, CA
National Provider Identifier
1356558233
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
C22302 Issued in CA
Legal business name
ADEPT PROSTHETICS
Practice address
1106 E 17TH St
Suite D
Santa Ana, CA 92701-2603
Phone
(714) 547-6106
Fax
(714) 550-7443
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. J Daniel Nunez, CPNPI 1194732859
Title
Prosthetist
Phone
(714) 547-6106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X C22302 CA Primary

Addresses

Primary practice location

1106 E 17TH St
Suite D
Santa Ana, CA 92701-2603

Mailing address

1106 E 17TH St
Suite D
Santa Ana, CA 92701-2603
Phone (714) 547-6106

Other identifiers 1

IdentifierTypeStateIssuer
1356558233OtherCANPI

National Provider Directory

National Provider Directory

Locations

1106 E 17th St
Ste D
Santa Ana, CA 92701
Phone (714) 547-6106

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1356558233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E 17TH ST",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012603",
            "telephone_number": "714-547-6106",
            "fax_number": "714-550-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E 17TH ST",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012603",
            "telephone_number": "714-547-6106",
            "fax_number": "714-550-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEPT PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "714-547-6106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "C22302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356558233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.