Organization Active NPI

Legacy Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Palm Springs, CA
National Provider Identifier
1679479588
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY PROSTHETICS & ORTHOTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.