Organization Active NPI

Universal Orthopedic Co.

  • Prosthetic/Orthotic Supplier
  • Norwalk, CA
National Provider Identifier
1588675474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 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
Michael Charles Pavelski, CPO
Title
Ceo
Phone
(562) 698-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GXA000030MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.