Beverly Orthopedic Laboratory Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BEVERLY ORTHOPEDIC LABORATORY INC.

Practice address

4150 Latham Street Suite:G
Riverside, CA 92501-0001

Phone

(951) 742-5127

Fax

(951) 742-5184

NPI assigned

Apr 4, 2023

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BEVERLY ORTHOPEDIC LABORATORY INC.As reported in NPPES

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

Authorized official

Name

Mr. Sanjay S Kawankar, CP, BOCPONPI 1689844813

Title

Ceo/Cfo

Phone

(323) 727-2887

Specialties & licenses 2

Addresses

Part of

Beverly Orthopedic Laboratory Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beverly Orthopedic Laboratory Inc

  • Prosthetic/Orthotic Supplier
  • Montebello, CA
  • NPI 1558370023
  NPPES parent name

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.

• Sanjay Suresh Kawankar

  • Prosthetics Case Management
  • Montebello, CA
  • NPI 1689844813
  Authorized official Same address or phone

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1487359832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906400031",
            "telephone_number": "323-727-2887",
            "fax_number": "323-727-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 LATHAM STREET SUITE:G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925010001",
            "telephone_number": "951-742-5127",
            "fax_number": "951-742-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ORTHOPEDIC LABORATORY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY ORTHOPEDIC LABORATORY INC.",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "KAWANKAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "323-727-2887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, BOCPO"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Decisions Counseling Riverside
• Betterbreath
• Ethan Beukers, LMSW
• Patricia Ann Beuoy-Schwartzman, CNM
• Beverly D. Thomas-Marsh (Why Me Counseling Services)
• Oscharea Beverly
• Andrew P Bevilacqua
• Beyond Therapy Healing Center Licensed Clinical Social Worker Inc. (Beyond Therapy Healing Center)
• Sana Bhakhrani, O.D.
• Rutuja Dilip Bhalerao, MD

• Prosthetic/Orthotic Supplier in Riverside, CA
• Providers in Riverside, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.