Mission Prosthetics, Inc.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

MISSION PROSTHETICS, INC.

Practice address

568 N Tustin St
Orange, CA 92867

Phone

(714) 633-3222

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Nancy Wang

Title

Manager

Phone

(714) 633-3222

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

Practitioners 1

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

• Rod Cuervo

  • Prosthetics Case Management
  • Laguna Hills, CA
  • NPI 1487770897
  NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1366484016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N TUSTIN ST # 392",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675956",
            "telephone_number": "949-310-4788",
            "fax_number": "714-633-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "714-633-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-633-3222"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP166024",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMS166024",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XB0016630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amirhossein Misaghi, M.D.
• Karina Misaico Lopez
• Chelsea N Mischuk
• Dikla Mishraki
• Mission Community Medical Corporation
• Sanya Mital, PSYD
• Elsa Mitani, N.P.
• Kristopher Isaiah Mitchell-Peevy
• Ann Mitchell, CRNA, MSN
• Carrie Loel Mitchell, HEALTH COACH

• Prosthetics Case Management in Orange, CA
• Providers in Orange, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.