Monterey Penninsula Orthotic and Prosthetic Services,LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MONTEREY PENNINSULA ORTHOTIC AND PROSTHETIC SERVICES,LLC

Practice address

30 Ragsdale Dr Ste 200
Monterey, CA 93940-7811

Phone

(831) 655-3580

Fax

(831) 655-3501

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James P. Kirn, BSNPI 1306916408

Title

Owner/President

Phone

(831) 655-3580

Specialties & licenses 1

Addresses

Other identifiers 2

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 1

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

• James P. Kirn, BS

  • Prosthetics Case Management
  • Monterey, CA
  • NPI 1306916408
  NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1861674574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407811",
            "telephone_number": "831-655-3580",
            "fax_number": "831-655-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407811",
            "telephone_number": "831-655-3580",
            "fax_number": "831-655-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PENNINSULA ORTHOTIC AND PROSTHETIC SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "KIRN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "831-655-3580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65338Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XC0007762",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monterey Peninsula Surgery Center LLC
• Monterey Peninsula Surgery Center LLC
• Monterey Peninsula Surgery Center LLC
• Monterey Peninsula Unified School District
• Monterey Peninsula Urgent Care Medical Group Inc
• Monterey Physicians Medical Group
• Monterey Pines Skilled Nursing Facility, Inc.
• Monterey Rape Crisis Center
• Monterey Salinas Transit District
• Monterey Skin Cancer Institute

• Prosthetic/Orthotic Supplier in Monterey, CA
• Providers in Monterey, 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 Mar 23, 2021; 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.