NPIMap

Organization Active NPI

West Coast Orthotic & Prosthetic Services Inc

  • Orthotic Fitter
  • Stockton, CA
National Provider Identifier
1841211992
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Legal business name
WEST COAST ORTHOTIC & PROSTHETIC SERVICES INC
Practice address
3215 N California St
Ste 2
Stockton, CA 95204
Phone
(209) 942-4166
Fax
(209) 942-4168
NPI assigned
Jul 22, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mr. Jennifer K Cree Sr.
Title
Contract Cordinator
Phone
(209) 845-8231

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU
Orthotic Fitter 225000000X NU Primary

Addresses

Primary practice location

3215 N California St
Ste 2
Stockton, CA 95204

Mailing address

693 Hi Tech Pkwy
Oakdale, CA 95361-9372
Phone (209) 845-8231

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1841211992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 HI TECH PKWY",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619372",
            "telephone_number": "209-845-8231",
            "fax_number": "209-845-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 N CALIFORNIA ST",
            "address_2": "STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-942-4166",
            "fax_number": "209-942-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST ORTHOTIC & PROSTHETIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "CREE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CONTRACT CORDINATOR",
        "authorized_official_telephone_number": "209-845-8231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.