Organization Active NPI

Limb Craft, Inc.

  • Prosthetic/Orthotic Supplier
  • Fullerton, CA
National Provider Identifier
1891873006
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO02709 Issued in CA
Legal business name
LIMB CRAFT, INC.
Practice address
810 E Chapman Ave
Suite C
Fullerton, CA 92831-3850
Phone
(714) 626-0417
Fax
(714) 626-0319
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Nathan Ryan Lee, CPONPI 1164612131
Title
President
Phone
(714) 626-0417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CPO02709 CA Primary

Addresses

Primary practice location

810 E Chapman Ave
Suite C
Fullerton, CA 92831-3850

Mailing address

810 E Chapman Ave
Suite C
Fullerton, CA 92831-3850
Phone (714) 626-0417

Other identifiers 3

IdentifierTypeStateIssuer
5140637OtherCAMEDI-CAL PIN
GXC000930OtherCAMEDI-CAL GROUP
ZZZ69704ZOtherCABLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041819 CA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Certified Orth/Pros/Pedorthist 0648473637 Practice locations: Fullerton, CA

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
Limb Craft Inc810 E Chapman Ave, Fullerton, CA 92831-3852(714) 626-0417 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 Does not accept assignmentParticipating since Nov 13, 2006

National Provider Directory

National Provider Directory

Locations

810 E Chapman Ave
Ste C
Fullerton, CA 92831
Phone (714) 626-0417

1950 E Chapman Ave
Ste 6
Fullerton, CA 92831
Phone (714) 626-0417

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1891873006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E CHAPMAN AVE",
            "address_2": "SUITE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313850",
            "telephone_number": "714-626-0417",
            "fax_number": "714-626-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E CHAPMAN AVE",
            "address_2": "SUITE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313850",
            "telephone_number": "714-626-0417",
            "fax_number": "714-626-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMB CRAFT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-626-0417",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CPO02709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN",
            "identifier": "5140637",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP",
            "identifier": "GXC000930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "ZZZ69704Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.