Molina Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MOLINA PROSTHETICS & ORTHOTICS

Practice address

2222 Martin Ste 212
Irvine, CA 92612-1434

Phone

(949) 988-7928

Fax

(949) 861-9539

NPI assigned

Dec 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Russell John Molina, C.P.O.

Title

Director of Prosthetic & Orthotics

Phone

(760) 964-3030

Specialties & licenses 1

Addresses

Other names 1

• Advanced Kinematics Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Henry Molina

  • Prosthetist
  • Palm Desert, CA
  • NPI 1487341343
  NPD

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1700207677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 MARTIN STE 212",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121434",
            "telephone_number": "949-988-7928",
            "fax_number": "949-861-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MARTIN STE 212",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121434",
            "telephone_number": "949-988-7928",
            "fax_number": "949-861-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF PROSTHETIC & ORTHOTICS",
        "authorized_official_telephone_number": "760-964-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Kinematics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Advanced Kinematics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shadab Moini
• Sofia Mari Moisa
• Sara Mojtahedi, DDS
• Pari Mokhtari
• Sarojini Devi Mokshagundam
• Molina Psychological Consultants
• Adriana Molina
• Andrey Molina
• Ariena Molina
• Ivonne Molina

• Prosthetic/Orthotic Supplier in Irvine, CA
• Providers in Irvine, 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 Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.