121 Care LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

121 CARE LLC

Practice address

424 9TH St
Suite 200
San Francisco, CA 94103-4411

Phone

(855) 572-0400

NPI assigned

Jan 4, 2016

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

LIM INNOVATIONS, INC SOLE MBRAs reported in NPPES

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

Authorized official

Name

Andrew Pedtke, MD

Title

Owner

Phone

(650) 873-6695

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1881050185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 9TH ST",
            "address_2": "SUITE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034411",
            "telephone_number": "855-572-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 9TH ST",
            "address_2": "SUITE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034411",
            "telephone_number": "855-572-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121 CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIM INNOVATIONS, INC SOLE MBR",
        "enumeration_date": "2016-01-04",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "PEDTKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-873-6695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in San Francisco, CA
• Providers in San Francisco, 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 Feb 21, 2017; 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.