Individual provider Active NPI

Scott G Wolf, PROSTHETIST

  • Prosthetic/Orthotic Supplier
  • Fresno, CA
National Provider Identifier
1841923125
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
2039 N Fine Ave
Fresno, CA 93727-1512
Phone
(559) 251-5557
Fax
(559) 251-5559
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2039 N Fine Ave
Fresno, CA 93727-1512

Mailing address

2039 N Fine Ave
Fresno, CA 93727-1512
Phone (559) 251-5557

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy L Dirksen Prosthetic/Orthotic Supplier CurrentSince Jul 10, 2022 Accepting new patients
Central Orthotic & Prosthetic LLC Prosthetic/Orthotic Supplier CurrentSince Aug 1, 2022 Accepting new patients

Locations

2039 N Fine Ave
Fresno, CA 93727
Phone (559) 251-5557

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1841923125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 N FINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271512",
            "telephone_number": "559-251-5557",
            "fax_number": "559-251-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 N FINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271512",
            "telephone_number": "559-251-5557",
            "fax_number": "559-251-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SCOTT",
        "middle_name": "G",
        "credential": "PROSTHETIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.