Reseda Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RESEDA PROSTHETICS, INC.

Practice address

2220 Lynn Rd Ste 306
Thousand Oaks, CA 91360-8000

Phone

(805) 719-3950

Fax

(805) 719-3954

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Araceli Jamison

Title

Practice Manager

Phone

(818) 993-5441

Specialties & licenses 2

Addresses

Other names 1

• Empowered Prosthetics & Orthotics Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Reseda Prosthetics 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.

• Reseda Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Oxnard, CA
  • NPI 1952196743
  NPD tax ID

Locations

Practitioners 4

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

• Trung D Bui, MD

  • Surgery Physician
  • Thousand Oaks, CA
  • NPI 1225219702
  NPD (past)
• Ardeshir Farshidi, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Thousand Oaks, CA
  • NPI 1790703643
  NPD (past)
• Alan C Mintz, MD

  • Vascular Surgery Physician
  • Thousand Oaks, CA
  • NPI 1396786497
  NPD (past)
• Raul Enrique Ortega, M.D.

  • Vascular Surgery Physician
  • Denton, TX
  • NPI 1295902385
  NPD (past)

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1588312433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 306",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608000",
            "telephone_number": "805-719-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 306",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608000",
            "telephone_number": "805-719-3950",
            "fax_number": "805-719-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESEDA PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "818-993-5441"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2220 Lynn Rd Ste 306",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913608000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Empowered Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Anne Reiss, M.S., CCC-SLP
• Paul C. Reisser, M.D.
• Teresa K. Reisser, LMFT
• Patrick J Reiten, M.D.
• Renaissance Asthetic Laser and Vein Institute, a Medical Corporation
• Gordon Philip Reuben, MD
• Mary Ann Reveles
• Revlin Therapy Services
• Francisco Ivan Reyes, MD
• Krystal Reyes

• Prosthetic/Orthotic Supplier in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Apr 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.
• 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.