Organization Active NPI

Alpha Orthopedic Appliance Co a Corp

  • Prosthetist
  • Commerce, CA
National Provider Identifier
1659398204
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
ALPHA ORTHOPEDIC APPLIANCE CO A CORP
Practice address
5940 E Washington Blvd
Commerce, CA 90040-2413
Phone
(323) 721-6706
Fax
(323) 721-6746
NPI assigned
Jul 17, 2006
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mr. Mark Steven Yamaka, CPNPI 1376736942
Title
President/Certified Prosthetist
Phone
(323) 721-6706

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)CodeLicenseStatePrimary
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

5940 E Washington Blvd
Commerce, CA 90040-2413

Mailing address

5940 E Washington Blvd
Commerce, CA 90040-2413
Phone (323) 721-6706

Other identifiers 1

IdentifierTypeStateIssuer
GFB000030MedicaidCA

National Provider Directory

National Provider Directory

Locations

5940 E Washington Blvd
Commerce, CA 90040
Phone (323) 721-6706

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1659398204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402413",
            "telephone_number": "323-721-6706",
            "fax_number": "323-721-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402413",
            "telephone_number": "323-721-6706",
            "fax_number": "323-721-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ORTHOPEDIC APPLIANCE CO A CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "YAMAKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CERTIFIED PROSTHETIST",
        "authorized_official_telephone_number": "323-721-6706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFB000030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.