Active NPI
Precision Orthotics & Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PRECISION ORTHOTICS & PROSTHETICS, INC
- Practice address
- 15586 7TH Street
Victorville, CA 92395-3224 - Phone
- (760) 241-7774
- Fax
- (760) 241-7775
- NPI assigned
- Feb 25, 2011
- Last updated
- Feb 25, 2011
- Organization subpart
- Yes
- Parent organization
- PRECISION ORTHOTICS & PROSTHETICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kwon Yi, CP
- Title
- Ceo
- Phone
- (213) 388-5847
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 | NU | Primary |
Addresses
Primary practice location
15586 7TH Street
Victorville, CA 92395-3224
Mailing address
2550 Beverly Blvd
Suite 201
Los Angeles, CA 90057-1036
Phone (213) 388-5847
National Provider Directory
National Provider Directory- Part of
- Precision Orthotics Prosthetics Inc
Locations
15586 Seventh St
Victorville, CA 92395
Phone (760) 241-7774
Ownership & related parties
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.
-
- Prosthetic/Orthotic Supplier
- Huntington Park, CA
- NPI 1285640979
Practitioners & affiliated clinicians
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.
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1902910235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298592000000",
"number": "1538466644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 BEVERLY BLVD",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571036",
"telephone_number": "213-388-5847",
"fax_number": "213-388-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15586 7TH STREET",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953224",
"telephone_number": "760-241-7774",
"fax_number": "760-241-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION ORTHOTICS & PROSTHETICS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRECISION ORTHOTICS & PROSTHETICS INC",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A",
"authorized_official_last_name": "YI",
"authorized_official_first_name": "KWON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "12133885847",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.