Individual provider Active NPI

Rod S O'Connor, C.P.O.

  • Prosthetist
  • Anaheim, CA
National Provider Identifier
1609317767
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
1287 N Tustin Ave
Anaheim, CA 92807-1603
Phone
(714) 635-2650
Fax
(714) 635-0223
NPI assigned
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X
Prosthetist 224P00000X Primary

Addresses

Primary practice location

1287 N Tustin Ave
Anaheim, CA 92807-1603

Mailing address

1287 N Tustin Ave
Anaheim, CA 92807-1603
Phone (714) 635-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hanger Prosthetics & Orthotics West Inc Orthotist Past Accepting new patients
Hanger Prosthetics & Orthotics West Inc. Orthotist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1609317767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 N TUSTIN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071603",
            "telephone_number": "714-635-2650",
            "fax_number": "714-635-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 N TUSTIN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071603",
            "telephone_number": "714-635-2650",
            "fax_number": "714-635-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "ROD",
        "middle_name": "S",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.