Axis Orthopedic Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

AXIS ORTHOPEDIC INC.

Practice address

25 S Raymond Ave Ste 203
Alhambra, CA 91801-7144

Phone

(626) 703-4603

Fax

(626) 703-4606

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Mi Chun, CPONPI 1851879829

Title

President/Ceo

Phone

(213) 703-1085

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Michelle Mi Chun, CPO

  • Prosthetic/Orthotic Supplier
  • Visalia, CA
  • NPI 1851879829
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1386318541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 203",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017144",
            "telephone_number": "626-703-4603",
            "fax_number": "626-703-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 203",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017144",
            "telephone_number": "626-703-4603",
            "fax_number": "626-703-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS ORTHOPEDIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-703-1085",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mchun@axisorthopedic.com",
            "affiliation": "N",
            "address_1": "25 S Raymond Ave Ste 203",
            "city": "Alhambra",
            "state": "CA",
            "country_code": "US",
            "postal_code": "918017144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.