Active NPI
Loren Rojek, PRESIDENT AND C.P.O.
- Prosthetist
- Fountain Valley, CA
National Provider Identifier
1811991169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO01752
- Practice address
- 16520 Harbor Blvd
Ste G
Fountain Valley, CA 92708-1360 - Phone
- (714) 210-1298
- Fax
- (714) 210-1336
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CPO01752 | CA | Primary |
| Orthotist | 222Z00000X | CPO01752 | CA |
Addresses
Primary practice location
16520 Harbor Blvd
Ste G
Fountain Valley, CA 92708-1360
Mailing address
16520 Harbor Blvd
Ste G
Fountain Valley, CA 92708-1360
Phone (714) 210-1298
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ07102Z | Other | CA | BLUE SHIELD PROVIDER # |
| 125510801 | Other | CA | DEPT OF LABOR PROV. # |
| 125518000 | Other | CA | DEPT. OF LABOR PROV. # |
| 006869-0001 | Other | CA | PACIFICARE PROVIDER # |
| 125510802 | Other | CA | DEPT OF LABOR PROV. # |
| 163276 | Other | CA | CMS# |
| XC0017520 | Other | CA | MEDI-CAL PROVIDER# |
| ZZZ08249Z | Other | CA | BLUE SHIELD PROVIDER # |
| ZZZ17352Z | Other | CA | BLUE SHIELD PROVIDER # |
| GXC000290 | Other | CA | MEDICAL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO01752 | CA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanger Prosthetics & Orthotics West Inc | Orthotist | Past | Accepting new patients |
| Hanger Prosthetics & Orthotics West Inc | Orthotist | Past | Accepting new patients |
| Hanger Prosthetics & Orthotics West Inc | Orthotist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Newport Beach, CA
- NPI 1225032576
Orthotist
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Orange, CA
- NPI 1306840392
Orthotist
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Fountain Valley, CA
- NPI 1528060662
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1811991169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16520 HARBOR BLVD",
"address_2": "STE G",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081360",
"telephone_number": "714-210-1298",
"fax_number": "714-210-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16520 HARBOR BLVD",
"address_2": "STE G",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081360",
"telephone_number": "714-210-1298",
"fax_number": "714-210-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJEK",
"first_name": "LOREN",
"name_prefix": "Mr.",
"credential": "PRESIDENT AND C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CPO01752",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CPO01752",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "ZZZ07102Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR PROV. #",
"identifier": "125510801",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR PROV. #",
"identifier": "125518000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE PROVIDER #",
"identifier": "006869-0001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR PROV. #",
"identifier": "125510802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS#",
"identifier": "163276",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER#",
"identifier": "XC0017520",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "ZZZ08249Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "ZZZ17352Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER #",
"identifier": "GXC000290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.