Organization Active NPI

RGP Orthopedic Appliance Co Inc

Doing business as RGP Prosthetic Research Center

  • Prosthetist
  • San Diego, CA
National Provider Identifier
1568557478
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
RGP ORTHOPEDIC APPLIANCE CO INC
Doing business as
RGP Prosthetic Research Center
Practice address
6147 University Ave
San Diego, CA 92115
Phone
(619) 582-3871
Fax
(619) 582-3999
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mr. Thomas Guth, CPNPI 1710158043
Title
President
Phone
(619) 582-3871

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
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

6147 University Ave
San Diego, CA 92115

Mailing address

6147 University Ave
San Diego, CA 92115
Phone (619) 582-3871

Other identifiers 2

IdentifierTypeStateIssuer
GXB000030MedicaidCA
ZZZ72596ZOtherCABLUE SHIELD

Other names 1

  • RGP Prosthetic Research Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930082814 CA DME Supplier - Medical Supply Company With Prosthetic Personnel 9335268127 Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
RGP Prosthetic Research Center6147 University Ave, San Diego, CA 92115-5720(619) 582-3871 Limb Prostheses Does not accept assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

6147 University Ave
San Diego, CA 92115
Phone (619) 582-3871

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1568557478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92115",
            "telephone_number": "619-582-3871",
            "fax_number": "619-582-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92115",
            "telephone_number": "619-582-3871",
            "fax_number": "619-582-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGP ORTHOPEDIC APPLIANCE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "GUTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-582-3871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXB000030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ72596Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RGP Prosthetic Research Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.