Organization Active NPI

Anaheim Orthotics and Orthopedic Appliances

  • Prosthetic/Orthotic Supplier
  • Anaheim, CA
National Provider Identifier
1902087802
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Jul 9, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.