NPIMap

Organization Active NPI

Anchor Orthotics and Prosthetics, Inc.

Doing business as Anchor Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Redwood City, CA
National Provider Identifier
1881100584
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ANCHOR ORTHOTICS AND PROSTHETICS, INC.
Doing business as
Anchor Orthotics & Prosthetics, Inc.
Practice address
617 Veterans Blvd Ste 101
Redwood City, CA 94063-1404
Phone
(650) 364-3088
Fax
(650) 364-3097
NPI assigned
Dec 18, 2017
Last updated
Dec 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Terrence McDonald, CONPI 1831351386
Title
President
Phone
(916) 484-0685

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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

617 Veterans Blvd Ste 101
Redwood City, CA 94063-1404

Mailing address

PO Box 300
Auburn, CA 95604-0300
Phone (650) 364-3088

Other identifiers 1

IdentifierTypeStateIssuer
GXC000890MedicaidCA

Other names 1

  • ANCHOR ORTHOTICS & PROSTHETICS, INC. Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

617 Veterans Blvd
Ste 101
Redwood City, CA 94063
Phone (650) 364-3088

3530 Auburn Blvd
Ste 6
Sacramento, CA 95821
Phone (916) 484-0685

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.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1881100584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956040300",
            "telephone_number": "650-364-3088",
            "fax_number": "650-364-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD STE 101",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631404",
            "telephone_number": "650-364-3088",
            "fax_number": "650-364-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR ORTHOTICS AND PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-484-0685",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR ORTHOTICS & PROSTHETICS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.