NPIMap

Organization Active NPI

Cranial Technologies Inc

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
National Provider Identifier
1669759486
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CRANIAL TECHNOLOGIES INC
Practice address
12301 Wilshire Blvd Ste 110
Los Angeles, CA 90025-1007
Phone
(310) 231-3406
Fax
(310) 231-3529
NPI assigned
Nov 8, 2011
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Oumou K Bah
Title
Compliance & Medicaid Specialist
Phone
(602) 393-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

12301 Wilshire Blvd Ste 110
Los Angeles, CA 90025-1007

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1016
Phone (480) 403-6300

National Provider Directory

National Provider Directory
Tax ID family
Cranial Technologies Inc105 organizations share this tax ID, including this one
Part of
Cranial Technologies Inc

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

12301 Wilshire Blvd
Ste 110
Los Angeles, CA 90025
Phone (310) 231-3406

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1669759486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W AUTO DR FL 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841016",
            "telephone_number": "480-403-6300",
            "fax_number": "480-505-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251007",
            "telephone_number": "310-231-3406",
            "fax_number": "310-231-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL TECHNOLOGIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES INC",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "OUMOU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COMPLIANCE & MEDICAID SPECIALIST",
        "authorized_official_telephone_number": "602-393-8188"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.