Organization Active NPI

Action Orthopedic Company, LLC

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
National Provider Identifier
1598799090
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XB0012281MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930070705 CA DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 1254538978 Practice locations: Los Angeles, CA

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
Action Orthopedic Company LLC1515 Wilshire Blvd, Los Angeles, CA 90017-3023(213) 482-5226 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 assignmentParticipating since Aug 25, 2008

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.