NPIMap

Organization Active NPI

North Bay Prosthetics and Orthotics LLC

Doing business as River City Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Carmichael, CA
National Provider Identifier
1760989313
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORTH BAY PROSTHETICS AND ORTHOTICS LLC
Doing business as
River City Prosthetics and Orthotics
Practice address
5900 Coyle Ave Ste B
Carmichael, CA 95608-0400
Phone
(916) 349-7600
Fax
(916) 349-7606
NPI assigned
Apr 10, 2018
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Michael Joseph BrightNPI 1487845319
Title
Ceo
Phone
(707) 425-5028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5900 Coyle Ave Ste B
Carmichael, CA 95608-0400

Mailing address

450 Chadbourne Rd Ste B
Fairfield, CA 94534-9612
Phone (707) 425-5028

Other names 1

  • River City Prosthetics and Orthotics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northbay Prosthetics and Orthotics LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1760989313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CHADBOURNE RD STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349612",
            "telephone_number": "707-425-5028",
            "fax_number": "707-425-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COYLE AVE STE B",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080400",
            "telephone_number": "916-349-7600",
            "fax_number": "916-349-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-425-5028"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.