Escalate Prosthetic Orthotic Clinic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ESCALATE PROSTHETIC ORTHOTIC CLINIC

Practice address

2982 McDonald LN
Corona, CA 92881-8212

Phone

(310) 480-8760

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Pam Mitra

Title

President

Phone

(310) 480-8760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1427463637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2982 MCDONALD LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2982 MCDONALD LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818212",
            "telephone_number": "310-480-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCALATE PROSTHETIC ORTHOTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-480-8760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enlightened Body
• Cassandra Marie Enochs
• Camille Epps
• Margaret Lee Erickson Robinson, LMFT, RN
• Anlajai Ervin
• Katrina Mae Escalera
• Britney Escobar-Medina
• Alyssa Escobar, SLPA
• Maria Escobedo
• Reina Escovedo

• Prosthetic/Orthotic Supplier in Corona, CA
• Providers in Corona, 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 Jul 1, 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.