Active NPI
Redlands Prosthetic & Orthotic Group Inc
- Prosthetic/Orthotic Supplier
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- REDLANDS PROSTHETIC & ORTHOTIC GROUP INC
- Practice address
- 1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127 - Phone
- (909) 798-5853
- Fax
- (909) 798-0602
- NPI assigned
- Jan 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Marie Rashidi, CPO
- Title
- Cfo, Co-Owner
- Phone
- (909) 798-5853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Mailing address
1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Phone (909) 798-5853
Other practice location 1
24910 Las Brisas Rd Ste 114
Murrieta, CA 92562-4035
Phone (909) 798-5853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XC0013090 | Medicaid | CA | |
| ZZZ25483Z | Other | CA | BLUE SHIELD OF 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 |
|---|---|---|---|---|
| O20100930082092 | CA | DME Supplier - Orthotic Personnel | 9638296080 | Practice locations: Redlands, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Murrieta, CA
- NPI 1548074909
9638296080
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 |
|---|---|---|
| Redlands Prosthetic & Orthotic Grou | 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
- Redlands Prosthetic Ort
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Murrieta, CA
- NPI 1548074909
Locations
24519 Redlands Blvd
Loma Linda, CA 92354
1849 W Redlands Blvd
Ste 103
Redlands, CA 92373
Phone (909) 798-5853
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Murrieta, CA
- NPI 1548074909
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Redlands, CA
- NPI 1881292928
-
- Orthotist
- Redlands, CA
- NPI 1245979889
-
- Prosthetist
- Redlands, CA
- NPI 1336018217
-
- Prosthetist
- Redlands, CA
- NPI 1952909004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1508845702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 W REDLANDS BLVD STE 103",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733127",
"telephone_number": "909-798-5853",
"fax_number": "909-798-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 W REDLANDS BLVD STE 103",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733127",
"telephone_number": "909-798-5853",
"fax_number": "909-798-0602"
}
],
"practiceLocations": [
{
"address_1": "24910 Las Brisas Rd Ste 114",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925624035",
"country_code": "US",
"telephone_number": "909-798-5853",
"fax_number": "909-798-0602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REDLANDS PROSTHETIC & ORTHOTIC GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-16",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "RASHIDI",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CFO, CO-OWNER",
"authorized_official_telephone_number": "909-798-5853",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XC0013090",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ25483Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
- Redlands Hospice Care, Inc.
- Redlands Optometry Group Inc a Professional Optometric Corporation
- Redlands Pathology Medical Group
- Redlands Pharmacy Inc
- Redlands Podiatry Group PC
- Redlands Psychological Services
- Redlands Psychological, Inc.
- Redlands Rehab and Healthcare Systems
- Redlands Spine and Sport
- Redlands Surgery Facility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.