Active NPI
Anaheim Orthotics and Orthopedic Appliances
- Prosthetic/Orthotic Supplier
- Anaheim, CA
National Provider Identifier
1902087802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ANAHEIM ORTHOTICS AND ORTHOPEDIC APPLIANCES
- Practice address
- 1177 N Kraemer Blvd
Anaheim, CA 92806-1917 - Phone
- (714) 632-3263
- Fax
- (714) 632-3318
- NPI assigned
- Nov 19, 2007
- 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
- Brad A Bartczak, CPED
- Title
- Owner Certified Pedorthist
- Phone
- (714) 632-3263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CA | Primary |
Addresses
Primary practice location
1177 N Kraemer Blvd
Anaheim, CA 92806-1917
Mailing address
1177 N Kraemer Blvd
Anaheim, CA 92806-1917
Phone (714) 632-3263
National Provider Directory
National Provider DirectoryLocations
1177 N Kraemer Blvd
Anaheim, CA 92806
Phone (714) 632-3263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1902087802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 N KRAEMER BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928061917",
"telephone_number": "714-632-3263",
"fax_number": "714-632-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N KRAEMER BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928061917",
"telephone_number": "714-632-3263",
"fax_number": "714-632-3318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANAHEIM ORTHOTICS AND ORTHOPEDIC APPLIANCES",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "BARTCZAK",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER CERTIFIED PEDORTHIST",
"authorized_official_telephone_number": "714-632-3263",
"authorized_official_credential": "CPED"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- Anaheim Medical Group Inc
- Anaheim Medical Supply Inc.
- Anaheim Memorial Hospital Emergency Physicians Medical Group
- Anaheim Memorial Medical Center
- Anaheim Orthodontics and Family Dentistry
- Anaheim Palace
- Anaheim Pharmacy, LLC
- Anaheim Pharmacy, LLC
- Anaheim Physical Therapy and Aquatic Rehab
- Anaheim Plaza Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.