Organization Active NPI

Life-Like Prosthetics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Torrance, CA
National Provider Identifier
1578589735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFE-LIKE PROSTHETICS, LLC
Practice address
1319 W Carson St
Torrance, CA 90501-3909
Phone
(310) 320-5777
Fax
(310) 320-6341
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carlos Duran Sambrano, CP, BOCP, RPTNPI 1902084049
Title
Owner/Prosthetic Practitioner
Phone
(310) 320-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1319 W Carson St
Torrance, CA 90501-3909

Mailing address

1319 W Carson St
Torrance, CA 90501-3909
Phone (310) 320-5777

Other identifiers 1

IdentifierTypeStateIssuer
XB0015301MedicaidCA

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578589735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013909",
            "telephone_number": "310-320-5777",
            "fax_number": "310-320-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013909",
            "telephone_number": "310-320-5777",
            "fax_number": "310-320-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-LIKE PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMBRANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "DURAN",
        "authorized_official_title_or_position": "OWNER/PROSTHETIC PRACTITIONER",
        "authorized_official_telephone_number": "310-320-5777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, BOCP, RPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XB0015301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.