Active NPI
Capstone Orthopedic, Inc.
- Prosthetic/Orthotic Supplier
- Fresno, CA
National Provider Identifier
1720126824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CAPSTONE ORTHOPEDIC, INC.
- Doing business as
- Advanced Prosthetic & Orthotic Designs
- Practice address
- 7015 N Chestnut Ave
Suite 103
Fresno, CA 93720-0349 - Phone
- (559) 298-0321
- Fax
- (559) 298-7164
- NPI assigned
- Feb 1, 2007
- Organization subpart
- Yes
- Parent organization
- CAPSTONE ORTHOPEDIC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glen Stephen Ellis, C.P.O.
- Title
- Ceo
- Phone
- (209) 612-6168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
7015 N Chestnut Ave
Suite 103
Fresno, CA 93720-0349
Mailing address
3553 Castro Valley Blvd
Suite B
Castro Valley, CA 94546-4400
Phone (510) 537-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXC 000923 | Medicaid | CA |
Other names 1
- Advanced Prosthetic & Orthotic Designs
National Provider Directory
National Provider Directory- Part of
- Capstone Orthopedic Inc
Locations
3553 Castro Valley Blvd
Ste B
Castro Valley, CA 94546
Phone (510) 537-1210
Ownership & related parties
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.
-
- Prosthetic/Orthotic Supplier
- Santa Cruz, CA
- NPI 1760749675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334534400000",
"number": "1720126824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 CASTRO VALLEY BLVD",
"address_2": "SUITE B",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464400",
"telephone_number": "510-537-1210",
"fax_number": "510-537-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 N CHESTNUT AVE",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200349",
"telephone_number": "559-298-0321",
"fax_number": "559-298-7164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSTONE ORTHOPEDIC, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAPSTONE ORTHOPEDIC, INC.",
"enumeration_date": "2007-02-01",
"last_updated": "2012-04-16",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-612-6168",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GXC 000923",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Prosthetic & Orthotic Designs",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.