Diablo Prosthetics and Orthotics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DIABLO PROSTHETICS AND ORTHOTICS, INC

Practice address

5601 Norris Canyon Rd
Suite 320
San Ramon, CA 94583-5407

Phone

(925) 552-5100

Fax

(925) 552-5109

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Marie Pelz, CO

Title

Cfo

Phone

(925) 552-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Glen Stephen Ellis, C.P.O.

  • Specialist
  • Castro Valley, CA
  • NPI 1023156130
  NPD

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1891083473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5268",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660468",
            "telephone_number": "925-484-6400",
            "fax_number": "925-484-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD",
            "address_2": "SUITE 320",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835407",
            "telephone_number": "925-552-5100",
            "fax_number": "925-552-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "PELZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "925-552-5100",
        "authorized_official_name_prefix": "Ms.",
        "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": "1891083473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Di Geronimo, RN
• Diablo Hearing Services Inc
• Diablo Mountain Ambulatory Surgery Center
• Diablo Pain Management, Prof Corp
• Diablo Podiatry
• Diablo Valley Critical Care PC
• Diablo Valley Drug and Alcohol Services Inc.
• Ana Isabel Diaz-Montes
• Alex Diaz, D.O.
• Ava Marie Diaz

• Prosthetic/Orthotic Supplier in San Ramon, CA
• Providers in San Ramon, 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 Jul 18, 2016; 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.