Organization Active NPI

Alcam Medical Inc

  • Prosthetic/Orthotic Supplier
  • Victorville, CA
National Provider Identifier
1598057796
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ALCAM MEDICAL INC
Practice address
15354 Bonanza Rd Ste a
Victorville, CA 92392-2495
Phone
(866) 847-7187
Fax
(877) 310-1729
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Alpha Iscandari Sanusi
Title
President
Phone
(951) 782-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

15354 Bonanza Rd Ste a
Victorville, CA 92392-2495

Mailing address

1660 Chicago Ave Ste M13
Riverside, CA 92507-2033
Phone (866) 847-7187

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
Alcam Medical Inc15354 Bonanza Rd, Victorville, CA 92392-2495(866) 847-7187 Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 9, 2007

National Provider Directory

National Provider Directory

Locations

15354 Bonanza Rd
Ste A
Victorville, CA 92392
Phone (760) 951-0747

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1598057796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE STE M13",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072033",
            "telephone_number": "866-847-7187",
            "fax_number": "877-310-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15354 BONANZA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922495",
            "telephone_number": "866-847-7187",
            "fax_number": "877-310-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCAM MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "SANUSI",
        "authorized_official_first_name": "ALPHA",
        "authorized_official_middle_name": "ISCANDARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-782-7000"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.