Active NPI
Legacy Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Palm Springs, CA
National Provider Identifier
1679479588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LEGACY PROSTHETICS & ORTHOTICS
- Practice address
- 1081 N Palm Springs
Ste 102
Palm Springs, CA 92262-4419 - Phone
- (760) 345-4779
- Fax
- (760) 772-3904
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Organization subpart
- Yes
- Parent organization
- LEGACY PROSTHETICS & ORTHOTICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Henry Molina, CP
- Title
- Ceo
- Phone
- (760) 345-4779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1081 N Palm Springs
Ste 102
Palm Springs, CA 92262-4419
Mailing address
43576 Washington St Ste 220
La Quinta, CA 92253-8568
Phone (760) 345-4779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1679479588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43576 WASHINGTON ST STE 220",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922538568",
"telephone_number": "760-345-4779",
"fax_number": "760-772-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 N PALM SPRINGS",
"address_2": "STE 102",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624419",
"telephone_number": "760-345-4779",
"fax_number": "760-772-3904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY PROSTHETICS & ORTHOTICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY PROSTHETICS & ORTHOTICS",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "MOLINA",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-345-4779",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.