Organization Active NPI

Dynamics Orthotics & Prosthetics, Inc.

Doing business as Dynamics O&P

  • Prosthetic/Orthotic Supplier
  • Torrance, CA
National Provider Identifier
1912225459
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DYNAMICS ORTHOTICS & PROSTHETICS, INC.
Doing business as
Dynamics O&P
Practice address
1001 W Carson St
Suite L
Torrance, CA 90502-2051
Phone
(310) 781-1780
Fax
(310) 781-1067
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Peter J Sean, CPONPI 1326698937
Title
Cert. Orthotist Prosthetist/Ceo
Phone
(213) 383-9212

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 Primary

Addresses

Primary practice location

1001 W Carson St
Suite L
Torrance, CA 90502-2051

Mailing address

1830 W Olympic Blvd.
Suite 123
Los Angeles, CA 90006-3734
Phone (213) 383-9212

Other identifiers 1

IdentifierTypeStateIssuer
1912225459MedicaidCA

Other names 1

  • DYNAMICS O&P Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140916002818 CA DME Supplier - Certified Orth/Pros/Pedorthist 3072630300 Practice locations: Torrance, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Dynamics Orthotics & Prosthetics, I1001 W Carson St, Torrance, CA 90502-2051(310) 781-1780 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 Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Dynamics Orthotics Prosthetics Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11550 Indian Hills Rd
Ste 230
Mission Hills, CA 91345
Phone (818) 898-0234

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": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1912225459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD.",
            "address_2": "SUITE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-9212",
            "fax_number": "213-383-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST",
            "address_2": "SUITE L",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022051",
            "telephone_number": "310-781-1780",
            "fax_number": "310-781-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICS ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "SEAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CERT. ORTHOTIST PROSTHETIST/CEO",
        "authorized_official_telephone_number": "213-383-9212",
        "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": "1912225459",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMICS O&P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.