Active NPI
Action Orthopedic Company, LLC
- Prosthetic/Orthotic Supplier
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ACTION ORTHOPEDIC COMPANY, LLC
- Practice address
- 1515 Wilshire Blvd Unit 3
Los Angeles, CA 90017-2216 - Phone
- (213) 482-5226
- Fax
- (213) 482-5040
- NPI assigned
- Jul 10, 2006
- 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
- Mrs. Sarola Lucy Gomes
- Title
- Vice President
- Phone
- (213) 482-5226
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | CA | Primary |
Addresses
Primary practice location
1515 Wilshire Blvd Unit 3
Los Angeles, CA 90017-2216
Mailing address
265 S Western Ave Unit 74368
Los Angeles, CA 90004-4172
Phone (213) 482-5226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XB0012281 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930070705 | CA | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 1254538978 | Practice locations: Los Angeles, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Action Orthopedic Company LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1515 Wilshire Blvd
Ste 3
Los Angeles, CA 90017
Phone (213) 482-5226
637 Lucas Ave
Ste 609
Los Angeles, CA 90017
Phone (213) 482-5226
265 S Western Ave
Unit 74368
Los Angeles, CA 90004
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Los Angeles, CA
- NPI 1447585518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1598799090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 S WESTERN AVE UNIT 74368",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044172",
"telephone_number": "213-482-5226",
"fax_number": "213-482-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 WILSHIRE BLVD UNIT 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172216",
"telephone_number": "213-482-5226",
"fax_number": "213-482-5040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION ORTHOPEDIC COMPANY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "GOMES",
"authorized_official_first_name": "SAROLA",
"authorized_official_middle_name": "LUCY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "213-482-5226",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XB0012281",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.