Organization Active NPI

Spectrum Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Yuba City, CA
National Provider Identifier
1467797191
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467797191MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

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
Spectrum Orthotics & Prosthetics887 Plumas St, Yuba City, CA 95991-4026(530) 418-8338 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 assignmentParticipating since Sep 5, 2006

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Orthotics and Prosthetics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.