NPIMap

Organization Active NPI

Prime Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
National Provider Identifier
1548045701
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PRIME ORTHOTICS & PROSTHETICS
Practice address
2727 W Olympic Blvd Ste 113
Los Angeles, CA 90006-2641
Phone
(213) 817-0134
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Mr. Joseph C Park, BOCP, COANPI 1700568284
Title
Owner
Phone
(213) 817-0134

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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2727 W Olympic Blvd Ste 113
Los Angeles, CA 90006-2641

Mailing address

2727 W Olympic Blvd Ste 113
Los Angeles, CA 90006-2641
Phone (213) 817-0134

National Provider Directory

National Provider Directory

Locations

2727 W Olympic Blvd
Ste 113
Los Angeles, CA 90006
Phone (213) 382-3663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1548045701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062641",
            "telephone_number": "213-817-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062641",
            "telephone_number": "213-817-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-817-0134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCP, COA"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.