Active NPI
Spectrum Orthotics and Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Yuba City, CA
National Provider Identifier
1467797191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SPECTRUM ORTHOTICS AND PROSTHETICS, INC.
- Practice address
- 887 Plumas St Ste a
Yuba City, CA 95991-4026 - Phone
- (530) 418-8338
- Fax
- (530) 815-2736
- NPI assigned
- Dec 6, 2012
- Organization subpart
- Yes
- Parent organization
- ORTHO DEV AMERICA CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (541) 734-2435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
887 Plumas St Ste a
Yuba City, CA 95991-4026
Mailing address
3541 E Barnett Rd Ste a
Medford, OR 97504-8306
Phone (541) 734-2435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467797191 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130626000134 | CA | DME Supplier - Certified Orth/Pros/Pedorthist | 3476756644 | Practice locations: Yuba City, CA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Oroville, CA
- NPI 1376818070
3476756644
-
- Prosthetic/Orthotic Supplier
- Chico, CA
- NPI 1841398047
3476756644
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Spectrum Orthotics & Prosthetics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Spectrum Orthotics and Prosthetics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Oroville, CA
- NPI 1376818070
-
- Prosthetic/Orthotic Supplier
- Chico, CA
- NPI 1841398047
Locations
887 Plumas St
Ste A
Yuba City, CA 95991
Phone (530) 418-8338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1467797191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 E BARNETT RD STE A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048306",
"telephone_number": "541-734-2435",
"fax_number": "541-734-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 PLUMAS ST STE A",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914026",
"telephone_number": "530-418-8338",
"fax_number": "530-815-2736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM ORTHOTICS AND PROSTHETICS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHO DEV AMERICA CORP.",
"enumeration_date": "2012-12-06",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "SABEL",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-734-2435"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467797191",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.