Active NPI
Hemet Prosthetic & Orthotic Group, Inc.
- Prosthetic/Orthotic Supplier
- Hemet, CA
National Provider Identifier
1881648467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
- Practice address
- 1133 E Florida Ave
Hemet, CA 92543-4512 - Phone
- (951) 766-4297
- Fax
- (951) 766-4299
- NPI assigned
- May 19, 2006
- Last updated
- Dec 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne A Kaufman, CPO
- Title
- Owner
- Phone
- (951) 766-4297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1133 E Florida Ave
Hemet, CA 92543-4512
Mailing address
1133 E Florida Ave
Hemet, CA 92543-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XB0015640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930067825 | CA | DME Supplier - Prosthetic Personnel | 5597883082 | Practice locations: Hemet, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hemet Prosthetics & Orthotics Group | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1133 E Florida Ave
Hemet, CA 92543
Phone (951) 766-4297
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Temecula, CA
- NPI 1932365673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1881648467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-766-4297",
"fax_number": "951-766-4299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEMET PROSTHETIC & ORTHOTIC GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-766-4297",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XB0015640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
- Hemet Infusion & Specialty Pharmacy Inc (Best Outcomes Clinic Pharmacy)
- Hemet Medical RX (Advanced Care Pharmacy)
- Hemet Mobility Center Inc.
- Hemet OB-GYN Inc
- Hemet Pain Management Center, LLC
- Hemet Radiology Medical Group, Inc.
- Hemet SNF Healthcare, LLC (San Jacinto Valley Post Acute)
- Hemet Unified School District
- Hemet Uro-Endo Surgicenter Inc.
- Hemet Valley Ambulance Service Inc (American Medical Response)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.