Align Clinic LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ALIGN CLINIC LLC

Practice address

700 S Claremont St
Suite 105
San Mateo, CA 94402-1452

Phone

(650) 375-2231

Fax

(650) 627-4632

NPI assigned

Dec 24, 2012

Last updated

Nov 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Grant Ian Wood, CPO

Title

Ceo

Phone

(650) 888-5573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

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

{
    "created_epoch": "1356307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1912243700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S CLAREMONT ST",
            "address_2": "SUITE 105",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021452",
            "telephone_number": "650-375-2231",
            "fax_number": "650-627-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S CLAREMONT ST",
            "address_2": "SUITE 105",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021452",
            "telephone_number": "650-375-2231",
            "fax_number": "650-627-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-888-5573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Shokouhi Mohseni MD PC (Baker Street CA PC)
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• Aabid Ali
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• Lisa Maria Allaire, D.C.
• Santiago Allende, PSYD
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• Lauren Amy Allerhand, PSY.D.

• Prosthetic/Orthotic Supplier in San Mateo, CA
• Providers in San Mateo, 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 Nov 24, 2015; 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.