Organization Active NPI

Althea'S, Inc.

  • Prosthetic/Orthotic Supplier
  • Ventura, CA
National Provider Identifier
1659551703
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
C13521 Issued in CA
Legal business name
ALTHEA'S, INC.
Practice address
2320 E Main St
Ventura, CA 93003-2602
Phone
(805) 643-3537
Fax
(805) 643-3568
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mrs. Deborah Gates, CERTIFIED ORTHOTISTNPI 1366406555
Title
President
Phone
(805) 643-3537

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
Prosthetic/Orthotic Supplier 335E00000X C13521 CA Primary

Addresses

Primary practice location

2320 E Main St
Ventura, CA 93003-2602

Mailing address

2320 E Main St
Ventura, CA 93003-2602
Phone (805) 643-3537

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ01909ZOtherCABLUE SHIELD OF CALIFORNIA
XA1352100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930001288 CA DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-Prosthetic 7113045360 Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

2320 E Main St
Ventura, CA 93003
Phone (805) 643-3537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1659551703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032602",
            "telephone_number": "805-643-3537",
            "fax_number": "805-643-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032602",
            "telephone_number": "805-643-3537",
            "fax_number": "805-643-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTHEA'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-643-3537",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C13521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ01909Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA1352100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.