Professional Orthopedic Systems of Sacramento, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROFESSIONAL ORTHOPEDIC SYSTEMS OF SACRAMENTO, LLC

Practice address

5049 College Oak Dr
Suite F
Sacramento, CA 95841-4630

Phone

(916) 331-3537

Fax

(916) 331-3587

NPI assigned

Sep 13, 2005

Last updated

Jul 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Tablada, C.P.O.

Title

Owner

Phone

(916) 331-3537

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1821083163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 COLLEGE OAK DR STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414630",
            "telephone_number": "916-331-3537",
            "fax_number": "916-331-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 COLLEGE OAK DR",
            "address_2": "SUITE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414630",
            "telephone_number": "916-331-3537",
            "fax_number": "916-331-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC SYSTEMS OF SACRAMENTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "TABLADA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-331-3537",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC000130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Procter, MS, BCBA
• Professional Med Transportation LLC
• Professional Medical Clinic for Women-Sacramento, Inc.
• Professional Nurses, Inc (Nurses Choice Home Care)
• Professional Orthopedic Systems of Sacramento, LLC
• Professional Pharmacy Care Inc.
• Professional Village Pharmacy, Inc.
• Professional Village Pharmacy, Inc.
• Progress Ranch Treatment Services for Children
• Prohealth Home Care Inc

• Prosthetic/Orthotic Supplier in Sacramento, CA
• Providers in Sacramento, 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 29, 2022; 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.