Active NPI
Althea'S, Inc.
- Prosthetic/Orthotic Supplier
- Ventura, CA
National Provider Identifier
1659551703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- C13521
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Gates, CERTIFIED ORTHOTIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ01909Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| XA1352100 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930001288 | CA | DME Supplier - Prosthetic Personnel | 7113045360 | Practice locations: Ventura, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Ventura, CA
- NPI 1366406555
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.