Active NPI
Elite Biomechanical Design
- Prosthetic/Orthotic Supplier
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ELITE BIOMECHANICAL DESIGN
- Practice address
- 9 Governors LN
Chico, CA 95926-1991 - Phone
- (530) 894-6913
- Fax
- (530) 894-6915
- NPI assigned
- Dec 28, 2009
- Last updated
- Jun 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Patrick Casey, BOCO
- Title
- Ceo, Cfo
- Phone
- (530) 894-6913
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
9 Governors LN
Chico, CA 95926-1991
Mailing address
9 Governors LN
Chico, CA 95926-1991
Phone (530) 894-6913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6296139 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930049303 | CA | DME Supplier - Orthotic Personnel | 2466642764 | Practice locations: Chico, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Elite Biomechanical Design
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Oroville, CA
- NPI 1013275874
-
- Prosthetic/Orthotic Supplier
- Paradise, CA
- NPI 1043758196
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Chico, CA
- NPI 1073735981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1851621734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GOVERNORS LN",
"city": "CHICO",
"state": "CA",
"postal_code": "959261991",
"telephone_number": "530-894-6913",
"fax_number": "530-894-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 GOVERNORS LN",
"city": "CHICO",
"state": "CA",
"postal_code": "959261991",
"telephone_number": "530-894-6913",
"fax_number": "530-894-6915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE BIOMECHANICAL DESIGN",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-28",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "CASEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "CEO, CFO",
"authorized_official_telephone_number": "530-894-6913",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BOCO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6296139",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.