Pvo Helthcare Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PVO HELTHCARE INC

Doing business as

Pomona Valley Orthopedic

Practice address

367 Ervilla St
Pomona, CA 91767-3022

Phone

(909) 629-7615

Fax

(909) 623-7651

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By 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. Robert Leonard Busuttil, BOPCO/CONPI 1861582652

Title

Owner/President

Phone

(909) 629-7615

Specialties & licenses 1

Addresses

Other names 1

• Pomona Valley Orthopedic Doing business as

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.

• Robert Leonard Busuttil, ABC CO BOC BOCPO

  • Prosthetic/Orthotic Supplier
  • Pomona, CA
  • NPI 1861582652
  Authorized official Same address or phone

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1659553907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ERVILLA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673022",
            "telephone_number": "909-629-7615",
            "fax_number": "909-623-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ERVILLA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673022",
            "telephone_number": "909-629-7615",
            "fax_number": "909-623-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVO HELTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BUSUTTIL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-629-7615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOPCO/CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomona Valley Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Pomona, CA
• Providers in Pomona, 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 Nov 28, 2007; 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.