Organization Active NPI

Abi P&O Inc

  • Prosthetic/Orthotic Supplier
  • San Diego, CA
National Provider Identifier
1871023515
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ABI P&O INC
Practice address
6190 Fairmount Ave Ste a
San Diego, CA 92120-3428
Phone
(619) 285-5040
Fax
(619) 285-5045
NPI assigned
Jun 15, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Diego Mendoza
Title
Director of Operations
Phone
(619) 285-5040

Specialties & licenses 1

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

Addresses

Primary practice location

6190 Fairmount Ave Ste a
San Diego, CA 92120-3428

Mailing address

6190 Fairmount Ave Ste a
San Diego, CA 92120-3428
Phone (619) 285-5040

Other practice location 1

205 Church Ave
Chula Vista, CA 91910-2702
Phone (619) 425-8189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171122000448 CA DME Supplier - Orthotic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Prosthetic Personnel 7810254158 Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Abi P&O Inc6190 Fairmount Ave, San Diego, CA 92120-3428(619) 285-5040 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Aug 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
Abi PO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1871023515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 FAIRMOUNT AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203428",
            "telephone_number": "619-285-5040",
            "fax_number": "619-285-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 FAIRMOUNT AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203428",
            "telephone_number": "619-285-5040",
            "fax_number": "619-285-5045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102702",
            "country_code": "US",
            "telephone_number": "619-425-8189",
            "fax_number": "619-425-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABI P&O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "619-285-5040"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.