NPIMap

Organization Active NPI

Redlands Prosthetic & Orthotic Group Inc

  • Prosthetic/Orthotic Supplier
  • Murrieta, CA
National Provider Identifier
1548074909
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REDLANDS PROSTHETIC & ORTHOTIC GROUP INC
Practice address
24910 Las Brisas Rd Ste 114
Murrieta, CA 92562-4035
Phone
(951) 813-6369
Fax
(909) 798-0602
NPI assigned
Feb 5, 2025
Organization subpart
Yes
Parent organization
REDLANDS PROSTHETIC & ORTHOTIC GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Amber Marie Rashidi, CPONPI 1881292928
Title
Owner/Cfo
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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

24910 Las Brisas Rd Ste 114
Murrieta, CA 92562-4035

Mailing address

1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Phone (909) 798-5853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027000906 CA DME Supplier - Orthotic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Prosthetic Personnel 9638296080 Practice locations: Murrieta, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Redlands Prosthetic Ort2 organizations share this tax ID, including this one
Part of
Redlands Prosthetic Ort

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24910 Las Brisas Rd
Ste 114
Murrieta, CA 92562
Phone (951) 600-9093

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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1548074909",
    "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": "24910 LAS BRISAS RD STE 114",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624035",
            "telephone_number": "951-813-6369",
            "fax_number": "909-798-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS PROSTHETIC & ORTHOTIC GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDLANDS PROSTHETIC & ORTHOTIC GROUP, INC",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "RASHIDI",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CFO",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.