Peter Harsch Prosthetics, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

2749 Issued in CA

Legal business name

PETER HARSCH PROSTHETICS, LLC

Practice address

5995 Mira Mesa Blvd
Ste a
San Diego, CA 92121-4305

Phone

(858) 404-0733

Fax

(858) 404-0745

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Kyle Michael Volz

Title

Evp of Licensure & Accreditation

Phone

(814) 777-0825

Specialties & licenses 1

Addresses

Other names 1

• Peter Harsch Prosthetics Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • N Charleston, SC
  • NPI 1780374488

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1447594700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 MIRA MESA BLVD",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214305",
            "telephone_number": "858-404-0733",
            "fax_number": "858-404-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 MIRA MESA BLVD",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214305",
            "telephone_number": "858-404-0733",
            "fax_number": "858-404-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER HARSCH PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "VOLZ",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EVP OF LICENSURE & ACCREDITATION",
        "authorized_official_telephone_number": "814-777-0825"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "2749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter Harsch Prosthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexandra Pestereanu-Gere, PSYD
• Petal Guest Home LLC
• Heather Grant Petanovitch, LCSW
• Dylan Pete
• Peter DO Dental Corporation
• Peter Morcos MD Inc
• Jillian Peter-Truesdell, N.P.
• Ellason Peter
• Katherine Peterman
• Adrianna Peters

• Prosthetist in San Diego, CA
• Providers in San Diego, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.