Organization Active NPI

Capstone Orthopedic, Inc.

  • Prosthetic/Orthotic Supplier
  • Santa Cruz, CA
National Provider Identifier
1760749675
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CAPSTONE ORTHOPEDIC, INC.
Doing business as
Shoreline Prosthetics and Orthotics
Practice address
1010 Water St
Santa Cruz, CA 95062-1559
Phone
(831) 421-0007
Fax
(831) 421-0003
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Mr. Glen S Ellis, CPO
Title
Ceo
Phone
(209) 612-6168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1010 Water St
Santa Cruz, CA 95062-1559

Mailing address

3553 Castro Valley Blvd
Suite B
Castro Valley, CA 94546-4400
Phone (510) 537-1210

Other names 1

  • Shoreline Prosthetics and Orthotics Doing business as

National Provider Directory

National Provider Directory

Locations

1010 Water St
Santa Cruz, CA 95062
Phone (831) 421-0007

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1760749675",
    "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": "1010 WATER ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621559",
            "telephone_number": "831-421-0007",
            "fax_number": "831-421-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE ORTHOPEDIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-612-6168",
        "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": [
        {
            "organization_name": "Shoreline Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, 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.

Verify at the official NPI Registry.