Custom Orthopedic Appliances, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CUSTOM ORTHOPEDIC APPLIANCES, INC.

Practice address

340 Divisadero St
San Francisco, CA 94117-2209

Phone

(415) 552-1330

Fax

(415) 861-2955

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Walter Koniuk, CO

Title

Owner/Certified Orthotist

Phone

(415) 552-1330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821175050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172209",
            "telephone_number": "415-552-1330",
            "fax_number": "415-861-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172209",
            "telephone_number": "415-552-1330",
            "fax_number": "415-861-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ORTHOPEDIC APPLIANCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONIUK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "415-552-1330",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFA000060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Cusenza
• Simon Bain Cushman
• Jennifer Cust
• Maxwell Custer, LMFT
• Alvin Buada Custodio
• Megan Cutaran
• Harriet E Cuttler, AGNP-C
• Julia Avery Cutts
• Dena Kay Cuyjet, RN,PNP
• Madeline Cuyler

• Prosthetic/Orthotic Supplier in San Francisco, CA
• Providers in San Francisco, 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 Aug 22, 2020; 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.