Prosthetic & Orthotic Group San Gabriel Valley, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC

Practice address

931 Buena Vista St Ste 105
Duarte, CA 91010

Phone

(626) 256-1415

Fax

(626) 256-1405

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(626) 256-1415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 Group San Gabriel Valley, Inc

  • Prosthetic/Orthotic Supplier
  • Van Nuys, CA
  • NPI 1831713189

  6204191224

  Same PAC ID

These 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

Tax ID family

Prosthetic Orthotic Group San Gabriel Valley Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prosthetic & Orthotic Group San Gabriel Valley, Inc

  • Prosthetic/Orthotic Supplier
  • Van Nuys, CA
  • NPI 1831713189
  NPD tax ID

Practitioners 1

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

• Mark A. Rodriguez, CPO

  • Orthotist
  • Duarte, CA
  • NPI 1407223365
  NPD

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1548718612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 105",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101780",
            "telephone_number": "626-256-1415",
            "fax_number": "626-256-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 105",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "91010",
            "telephone_number": "626-256-1415",
            "fax_number": "626-256-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-256-1415"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragnesh J Dholakiya and Pooran B Dalwani
• Neal Prakash, M.D., PH.D.
• Hannah Rose Prawat, PA-C
• Roxana Nataly Preciado
• Proserve Hospice Inc
• Matthew Ryan Pulaski, M.D.
• Vinod Pullarkat, M.D.
• Purelife Home Health Inc
• Q24 Mobile Lab LLC
• Samina Qamar, M.D.

• Prosthetic/Orthotic Supplier in Duarte, CA
• Providers in Duarte, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.

Verify at the official NPI Registry.