Southern California Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTHERN CALIFORNIA PROSTHETICS, INC.

Practice address

1801 Parkcourt PL
BLDG B
Santa Ana, CA 92701-5002

Phone

(949) 892-5338

Fax

(949) 419-6478

NPI assigned

Oct 2, 2009

Last updated

Aug 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard MyersNPI 1922387158

Title

President

Phone

(949) 533-8349

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Myers, CP

  • Prosthetist
  • Santa Ana, CA
  • NPI 1922387158
  NPD Authorized official
• Johnathon Merica, CO

  • Orthotist
  • Santa Ana, CA
  • NPI 1477227262
  NPD
• Mackinley Spencer Burrell, CP

  • Prosthetist
  • Anthem, AZ
  • NPI 1376217141
  NPD

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1639404015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PARKCOURT PL",
            "address_2": "BLDG B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015002",
            "telephone_number": "949-892-5338",
            "fax_number": "949-419-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PARKCOURT PL",
            "address_2": "BLDG B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015002",
            "telephone_number": "949-892-5338",
            "fax_number": "949-419-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-533-8349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.scprosthetics.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 Parkcourt Pl",
            "address_2": "Bldg B",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927015002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South County Anesthesiology Inc
• South Gate Rose Pharmacy Inc
• Ashley Southard
• Southern California Dermatology, Inc
• Southern California Medical Specialists, Inc.
• Southern California Specialty Care, LLC
• Southern California Sports Rehab Inc
• Southern California Sports Rehabilitation, Inc.
• Southland Integrated Services, Inc. (Integrated Community Services - Santa Ana)
• Praseuth Souvannavong

• Prosthetic/Orthotic Supplier in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.