Stellar Prosthetics and Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

STELLAR PROSTHETICS AND ORTHOTICS

Practice address

2930 Inland Empire Blvd Ste 118
Ontario, CA 91764-7415

Phone

(909) 906-6624

Fax

(909) 930-1299

NPI assigned

Mar 5, 2009

Organization subpart

Yes

Parent organization

STELLAR PROSTHETICS AND ORTHOTICSAs reported in NPPES

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

Authorized official

Name

Mr. Sean L Stellar, CPO

Title

Ceo

Phone

(626) 584-0805

Specialties & licenses 1

Addresses

Part of

Stellar Prosthetics Orthotics

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Stellar Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Pasadena, CA
  • NPI 1205003563
  NPPES parent name

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1700026564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 S ARROYO PKWY",
            "address_2": "SUITE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053902",
            "telephone_number": "626-584-0805",
            "fax_number": "626-584-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 INLAND EMPIRE BLVD STE 118",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917647415",
            "telephone_number": "909-906-6624",
            "fax_number": "909-930-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STELLAR PROSTHETICS AND ORTHOTICS",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "STELLAR",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-584-0805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Ontario, CA
• Providers in Ontario, 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 May 17, 2022; 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.