Prosthetic & Orthotic Management Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROSTHETIC & ORTHOTIC MANAGEMENT INC

Practice address

75150 Sheryl Ave Ste a
Palm Desert, CA 92211-5118

Phone

(760) 345-4779

Fax

(760) 772-3904

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Russell J Molina, C.P.O.NPI 1962456855

Title

Ceo

Phone

(760) 964-3030

Specialties & licenses 1

Addresses

Other names 1

• Coachella Valley Orthotics and Prosthetics Doing business as

Practitioners 1

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

• Russell John Molina, CPO

  • Specialist
  • Palm Desert, CA
  • NPI 1962456855
  NPD Authorized official

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1366855124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75150 SHERYL AVE STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115118",
            "telephone_number": "760-345-4779",
            "fax_number": "760-772-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75150 SHERYL AVE STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115118",
            "telephone_number": "760-345-4779",
            "fax_number": "760-772-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-964-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coachella Valley Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary L Price, OD
• Tiffany Elizabeth Price
• Prime Clinical Laboratory Inc.
• Principle Optometry Group PC
• Professional Mobile Imaging Inc
• Maureen L Prowse, MD, MBA
• Jalyn Pryor
• Psychological Advances in Coping Education Inc
• Psychological Resource Centers, Inc.
• Dapne Pulido

• Durable Medical Equipment & Medical Supplies in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.