Active NPI
Stance Prosthetics & Orthotics LLC
- Prosthetic/Orthotic Supplier
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- STANCE PROSTHETICS & ORTHOTICS LLC
- Practice address
- 1125 E 17TH St Ste N354
Santa Ana, CA 92701-2269 - Phone
- (714) 852-3756
- Fax
- (714) 852-3856
- NPI assigned
- Sep 11, 2011
- 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
- Kenneth Temeki
- Title
- Member/Owner LLC
- Phone
- (714) 852-3756
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1125 E 17TH St Ste N354
Santa Ana, CA 92701-2269
Mailing address
1125 E 17TH St Ste N354
Santa Ana, CA 92701-2269
Phone (714) 852-3756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120423000148 | CA | DME Supplier - Orthotic Personnel | 9335300177 | Practice locations: Santa Ana, 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 |
|---|---|---|
| Gardena Valley Medical Center | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1300 W 155th St
Ste 106
Gardena, CA 90247
Phone (310) 358-4596
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Gardena, CA
- NPI 1720260474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664668800000",
"number": "1629350178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 E 17TH ST STE N354",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012269",
"telephone_number": "714-852-3756",
"fax_number": "714-852-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E 17TH ST STE N354",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012269",
"telephone_number": "714-852-3756",
"fax_number": "714-852-3856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANCE PROSTHETICS & ORTHOTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-11",
"last_updated": "2022-10-02",
"certification_date": "2022-10-02",
"status": "A",
"authorized_official_last_name": "TEMEKI",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MEMBER/OWNER LLC",
"authorized_official_telephone_number": "714-852-3756"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; 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.