Organization Active NPI

Awesomfit, Inc

  • Prosthetic/Orthotic Supplier
  • Salida, CA
National Provider Identifier
1437747151
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AWESOMFIT, INC
Doing business as
Awesomfit, Inc
Practice address
5331 Pirrone Rd Ste B
Salida, CA 95368-9089
Phone
(209) 522-9911
Fax
(209) 522-6611
NPI assigned
Jan 7, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Mr. John Larbie
Title
Employee
Phone
(209) 735-0148

Specialties & licenses 1

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

Addresses

Primary practice location

5331 Pirrone Rd Ste B
Salida, CA 95368-9089

Mailing address

5331 Pirrone Rd Ste B
Salida, CA 95368-9089
Phone (209) 522-9911

Other practice location 1

5331 Pirrone Rd Ste B
Salida, CA 95368-9089
Phone (209) 522-9911

Other names 1

  • AWESOMFIT, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407002507 CA DME Supplier - Medical Supply Company 9032526181 Practice locations: Salida, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Awesomfit Inc5331 Pirrone Rd, Salida, CA 95368-9089(209) 522-9911 Commodes, Urinals, Bedpans|Osteogenesis Stimulators|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Orthoses: Off-The-Shelf|Breast Prosthe… Does not accept assignmentParticipating since Mar 10, 2021

National Provider Directory

National Provider Directory
Tax ID family
Awesomfit Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5331 Pirrone Rd
#B
Salida, CA 95368
Phone (209) 522-9911

5331B Pirrone Rd
Salida, CA 95368

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1437747151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 PIRRONE RD STE B",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689089",
            "telephone_number": "209-522-9911",
            "fax_number": "209-522-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PIRRONE RD STE B",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689089",
            "telephone_number": "209-522-9911",
            "fax_number": "209-522-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5331 Pirrone Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Salida",
            "state": "CA",
            "postal_code": "953689089",
            "country_code": "US",
            "telephone_number": "209-522-9911",
            "fax_number": "209-522-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AWESOMFIT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "LARBIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "209-735-0148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AWESOMFIT, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salida, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.

Verify at the official NPI Registry.