Individual provider Active NPI

Travis Dubuque

  • Prosthetist
  • Redlands, CA
National Provider Identifier
1699644567
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Phone
(909) 798-5853
Fax
(909) 798-0602
NPI assigned
Oct 30, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127

Mailing address

1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Phone (909) 798-5853

Other practice location 1

24910 Las Brisas Rd Ste 114
Murrieta, CA 92562-4035
Phone (951) 813-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redlands Prosthetic & Orthotic Group Inc Orthotist CurrentSince Nov 8, 2025 Accepting new patients
Redlands Prosthetic & Orthotic Group Inc Orthotist PastSince Nov 8, 2025 Accepting new patients

Locations

24910 Las Brisas Rd
Ste 114
Murrieta, CA 92562
Phone (951) 813-6369

1849 W Redlands Blvd
Ste 103
Redlands, CA 92373
Phone (909) 798-5853

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1699644567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 W REDLANDS BLVD STE 103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733127",
            "telephone_number": "909-798-5853",
            "fax_number": "909-798-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 W REDLANDS BLVD STE 103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733127",
            "telephone_number": "909-798-5853",
            "fax_number": "909-798-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24910 Las Brisas Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624035",
            "country_code": "US",
            "telephone_number": "951-813-6369",
            "fax_number": "909-798-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBUQUE",
        "first_name": "TRAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.