Individual provider Active NPI

Ava S Herbrick, C.P.O.

  • Orthotist
  • Newhall, CA
National Provider Identifier
1639460637
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CPO1844
Practice address
23033 Lyons Ave
Ste 6
Newhall, CA 91321-2727
Phone
(661) 253-1191
Fax
(661) 253-1343
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CPO1844 Primary
Prosthetist 224P00000X CPO1844

Addresses

Primary practice location

23033 Lyons Ave
Ste 6
Newhall, CA 91321-2727

Mailing address

1524 21St Street
Bakersfield, CA 93301-4002
Phone (661) 322-1005

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
Valley Institute of Prosthetics & Orthotics, Inc Orthotist Past Accepting new patients
Valley Institute of Prosthetics & Orthotics, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1639460637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 21ST STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014002",
            "telephone_number": "661-322-1005",
            "fax_number": "661-322-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23033 LYONS AVE",
            "address_2": "STE 6",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212727",
            "telephone_number": "661-253-1191",
            "fax_number": "661-253-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBRICK",
        "first_name": "AVA",
        "middle_name": "S",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CPO1844",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CPO1844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.