Active NPI
Universal Orthopedic Co.
- Prosthetic/Orthotic Supplier
- Norwalk, CA
National Provider Identifier
1588675474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- UNIVERSAL ORTHOPEDIC CO.
- Practice address
- 12830 Rosecrans Ave
Norwalk, CA 90650-4416 - Phone
- (562) 698-9965
- Fax
- (562) 404-1678
- NPI assigned
- Aug 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Charles Pavelski, CPO
- Title
- Ceo
- Phone
- (562) 698-9965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
12830 Rosecrans Ave
Norwalk, CA 90650-4416
Mailing address
12830 Rosecrans Ave
Norwalk, CA 90650-4416
Phone (562) 698-9965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXA000030 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
12830 Rosecrans Ave
Norwalk, CA 90650
Phone (562) 698-9965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588675474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12830 ROSECRANS AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504416",
"telephone_number": "562-698-9965",
"fax_number": "562-404-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12830 ROSECRANS AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504416",
"telephone_number": "562-698-9965",
"fax_number": "562-404-1678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL ORTHOPEDIC CO.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAVELSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-698-9965",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GXA000030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, 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.