Spectrum O & P of Santa Rosa

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM O & P OF SANTA ROSA

Practice address

95 Montgomery Dr Ste 102
Santa Rosa, CA 95404-6617

Phone

(707) 528-8858

Fax

(707) 528-8840

NPI assigned

Sep 17, 2015

Organization subpart

Yes

Parent organization

ORTHO DEV AMERICA CORPAs reported in NPPES

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

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(541) 734-2435

Specialties & licenses 2

Addresses

Other names 1

• Spectrum Orthotics & Prosthetics Doing business as

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome Hsi-Cheng Chin, M.D. PH.D.

  • Neurology Physician
  • Santa Rosa, CA
  • NPI 1992837496
  NPD (past)
• Norick J Janian, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Santa Rosa, CA
  • NPI 1598840209
  NPD (past)

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1851760086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BARNETT STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-734-2435",
            "fax_number": "541-734-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-528-8858",
            "fax_number": "707-528-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM O & P OF SANTA ROSA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO DEV AMERICA CORP",
        "enumeration_date": "2015-09-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-734-2435"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Randall Sparacio
• Rachael Sparacio, RD CDE
• Harvey Sparks
• Ingri Seath Sparling, RDHAP
• Olivia Spaulding
• Spectrum of Santa Rosa
• Speech Ally, Speech Pathology Corporation
• Megan Sloane Speed
• Gloria Diane Speicher, PH.D
• Andrea Spence

• Prosthetic/Orthotic Supplier in Santa Rosa, CA
• Providers in Santa Rosa, 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 May 19, 2026; 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.