Organization Active NPI

Bionics Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • San Marcos, CA
National Provider Identifier
1396312062
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BIONICS ORTHOTICS AND PROSTHETICS INC.
Practice address
1553 Grand Ave Ste B
San Marcos, CA 92078-2427
Phone
(858) 270-9972
NPI assigned
Jun 9, 2021
Organization subpart
Yes
Parent organization
BIONICS ORTHOTICS AND PROSTHETICS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Brandon Calvo
Title
President
Phone
(858) 270-9972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1553 Grand Ave Ste B
San Marcos, CA 92078-2427

Mailing address

3737 Moraga Ave Ste B107
San Diego, CA 92117-5300
Phone (858) 270-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211203001069 CA DME Supplier - Medical Supply Company With Orthotic-Prosthetic 8325442189 Practice locations: San Marcos, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bionics Orthotics and Prosthetics Inc2 organizations share this tax ID, including this one
Part of
Bionics Orthotics and Prosthetics Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1396312062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175300",
            "telephone_number": "858-270-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 GRAND AVE STE B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782427",
            "telephone_number": "858-270-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIONICS ORTHOTICS AND PROSTHETICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIONICS ORTHOTICS AND PROSTHETICS INC.",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-270-9972"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

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