Active NPI
Welch's Shoe Repair
- Prosthetic/Orthotic Supplier
- Hemet, CA
National Provider Identifier
1730212036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CPED876
- Legal business name
- WELCH'S SHOE REPAIR
- Practice address
- 41819 E Florida Ave
Hemet, CA 92544 - Phone
- (951) 658-2383
- Fax
- (951) 929-3396
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert M Welch
- Title
- Owner
- Phone
- (951) 658-2383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CPED876 | CA | Primary |
Addresses
Primary practice location
41819 E Florida Ave
Hemet, CA 92544
Mailing address
41819 E Florida Ave
Hemet, CA 92544
Phone (951) 658-2383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 876 | Other | CA | CPED |
National Provider Directory
National Provider DirectoryLocations
41819 Florida Ave
Hemet, CA 92544
Phone (951) 658-2383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1730212036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41819 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "92544",
"telephone_number": "951-658-2383",
"fax_number": "951-929-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41819 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "92544",
"telephone_number": "951-658-2383",
"fax_number": "951-929-3396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELCH'S SHOE REPAIR",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-658-2383"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "CPED876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPED",
"identifier": "876",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.