Organization Active NPI

Stuart Pedorthics, Inc.

  • Prosthetic/Orthotic Supplier
  • Granada Hills, CA
National Provider Identifier
1467454777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STUART PEDORTHICS, INC.
Practice address
17816 Chatsworth St.
Granada Hills, CA 91344-5611
Phone
(818) 831-8507
Fax
(818) 831-8527
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stuart Neal Lutwak, C.PED.
Title
President
Phone
(818) 831-8507

Specialties & licenses 1

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

Addresses

Primary practice location

17816 Chatsworth St.
Granada Hills, CA 91344-5611

Mailing address

17816 Chatsworth St.
Granada Hills, CA 91344-5611
Phone (818) 831-8507

National Provider Directory

National Provider Directory

Locations

17816 Chatsworth St
Granada Hills, CA 91344
Phone (818) 831-8507

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467454777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17816 CHATSWORTH ST.",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445611",
            "telephone_number": "818-831-8507",
            "fax_number": "818-831-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17816 CHATSWORTH ST.",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445611",
            "telephone_number": "818-831-8507",
            "fax_number": "818-831-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART PEDORTHICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTWAK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-831-8507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.