Active NPI
Achilles Prosthetics and Orthotics, Inc
- Prosthetic/Orthotic Supplier
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ACHILLES PROSTHETICS AND ORTHOTICS, INC
- Practice address
- 622 E Main St
Santa Maria, CA 93454-4506 - Phone
- (805) 925-6144
- Fax
- (805) 925-2746
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel J Newton, B.S,, F.A.C., C.P.
- Title
- President
- Phone
- (661) 323-5944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CA | Primary |
Addresses
Primary practice location
622 E Main St
Santa Maria, CA 93454-4506
Mailing address
622 E Main St
Santa Maria, CA 93454-4506
Phone (805) 925-6144
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376549568 | Other | MI | BLUE SHIELD OF MICHIGAN |
| 1376549568 | Medicaid | CA | |
| 1376549568 | Other | TX | BLUE SHIELD OF TEXAS |
| 1376549568 | Other | CA | CALIFORNIA CHILDREN SERVICES |
| 199156400 | Other | CA | U.S. DEPARTMENT OF LABOR |
| ZZZ82604Z | Other | CA | BLUE SHIELD |
| 1376549568 | Other | MI | BLUE CROSS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050881 | CA | DME Supplier - Orthotic Personnel | 7315064755 | Practice locations: Santa Maria, CA |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Bakersfield, CA
- NPI 1124651971
7315064755
-
- Prosthetic/Orthotic Supplier
- Templeton, CA
- NPI 1356763742
7315064755
-
- Prosthetic/Orthotic Supplier
- Bakersfield, CA
- NPI 1659377836
7315064755
-
- Prosthetic/Orthotic Supplier
- Santa Barbara, CA
- NPI 1689196099
7315064755
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Achilles Prosthetics and Ortho Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Achilles Prosthetics
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Bakersfield, CA
- NPI 1124651971
-
- Prosthetic/Orthotic Supplier
- Ventura, CA
- NPI 1316739782
-
- Prosthetic/Orthotic Supplier
- Templeton, CA
- NPI 1356763742
-
- Prosthetic/Orthotic Supplier
- Bakersfield, CA
- NPI 1659377836
Locations
622 E Main St
Santa Maria, CA 93454
Phone (805) 925-6144
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": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379462400000",
"number": "1376549568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 E MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544506",
"telephone_number": "805-925-6144",
"fax_number": "805-925-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 E MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544506",
"telephone_number": "805-925-6144",
"fax_number": "805-925-2746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHILLES PROSTHETICS AND ORTHOTICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2013-09-18",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-323-5944",
"authorized_official_credential": "B.S,, F.A.C., C.P."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MICHIGAN",
"identifier": "1376549568",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376549568",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF TEXAS",
"identifier": "1376549568",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA CHILDREN SERVICES",
"identifier": "1376549568",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPARTMENT OF LABOR",
"identifier": "199156400",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ82604Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MICHIGAN",
"identifier": "1376549568",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.