Djo, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Carlsbad, CA
NPI 1497731533 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1497731533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- DJO, LLC
- Practice address
- 5919 Sea Otter PL Ste 200
Carlsbad, CA 92010-6750 - Phone
- (972) 956-4323
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Andres Moreno III
- Title
- President
- Phone
- (800) 321-9549
Other NPIs with the same Medicare PAC ID 6
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 8
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Djo LLC |
Heat & Cold Applications|Osteogenesis Stimulators|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041186 | CA | DME Supplier - Medical Supply Company With Orthotic Personnel |
1456472703 | Practice locations: Carlsbad, CA |
National Provider Directory
- Tax ID family
- Djo LLC
Locations
2985 Scott St
Vista, CA 92081
7227 Metcalf Ave
Ste 300
Overland Park, KS 66204
Phone (913) 270-3170
5617 Highway 153
Ste 204
Hixson, TN 37343
Phone (423) 419-5155
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
5919 Sea Otter PL Ste 200
Carlsbad, CA 92010-6750
Mailing address
2900 Lake Vista Dr Ste 200
Lewisville, TX 75067-3889
Phone (866) 356-7846
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165650741 | Medicaid | AR |
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- Thanh-Trinh Doan
- Gabrielle Dobbs
- Matti F. Dobbs
- Kelly Leanne Dodd
All providers in Carlsbad, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.