Restore Medical Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RESTORE MEDICAL INC

Doing business as

Restore Orthotics and Prosthetics

Practice address

1505 Soquel Dr Ste 4
Santa Cruz, CA 95065-1716

Phone

(831) 600-7432

Fax

(831) 600-7204

NPI assigned

Jul 31, 2020

Organization subpart

Yes

Parent organization

RESTORE MEDICAL INCAs reported in NPPES

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

Authorized official

Name

Miss Kati Auxier

Title

Coo

Phone

(925) 523-7670

Specialties & licenses 1

Addresses

Other names 1

• Restore Orthotics and Prosthetics Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Restore Medical Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Modesto, CA
  • NPI 1861849077

  1759697485

  Same PAC ID
• Restore Medical Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Vacaville, CA
  • NPI 1932657103

  1759697485

  Same PAC ID
• Restore Medical, Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Redding, CA
  • NPI 1629476510

  1759697485

  Same PAC ID
• Restore Medical, Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Red Bluff, CA
  • NPI 1689072670

  1759697485

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Restore Medical Inc5 organizations share this tax ID, including this one

Part of

Restore Medical Inc

Other organizations with this tax ID 4

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

• Restore Medical Inc

  dba Total Care

  • Prosthetic/Orthotic Supplier
  • Walnut Creek, CA
  • NPI 1295126274
  NPD tax ID
• Restore Medical Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Modesto, CA
  • NPI 1861849077
  NPD tax ID
• Restore Medical, Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Redding, CA
  • NPI 1629476510
  NPD tax ID
• Restore Medical, Inc.

  dba Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Red Bluff, CA
  • NPI 1689072670
  NPD tax ID

Locations

Practitioners 1

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

• Angela C. Brown, CP

  • Prosthetist
  • Redding, CA
  • NPI 1508687617
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1801406269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 N BROADWAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963716",
            "telephone_number": "925-930-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SOQUEL DR STE 4",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651716",
            "telephone_number": "831-600-7432",
            "fax_number": "831-600-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE MEDICAL INC",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "AUXIER",
        "authorized_official_first_name": "KATI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "925-523-7670",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8316007204",
            "affiliation": "N",
            "endpointDescription": "fax line",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "1505 Soquel Dr Ste 4",
            "city": "Santa Cruz",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950651716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restore Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isa Reser
• Resilient Recovery Services
• Helen R Resneck-Sannes, PH.D.
• Larry David Resneck-Sannes, MD
• David Alan Resnikoff, LCS
• Gretchen Retka
• Eileen Rebecca Retzloff, MSW
• Sofia Reyes Martinez
• Andrea Garcia Reyes
• Araceli Reyes

• Prosthetic/Orthotic Supplier in Santa Cruz, CA
• Providers in Santa Cruz, 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 Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.