Active NPI
Pioneer Orthotics and Prosthetics
- Prosthetic/Orthotic Supplier
- Lake Forest, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PIONEER ORTHOTICS AND PROSTHETICS
- Practice address
- 23672 Birtcher Dr Unit a
Lake Forest, CA 92630-1711 - Phone
- (949) 945-9606
- Fax
- (949) 945-9604
- NPI assigned
- Jun 5, 2018
- Last updated
- Jun 5, 2025
- 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
- Mr. Darya Amirshahrokhi, CPO
- Title
- Ceo
- Phone
- (949) 945-9606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
23672 Birtcher Dr Unit a
Lake Forest, CA 92630-1711
Mailing address
PO Box 546
Lake Forest, CA 92609-0546
Phone (949) 945-9606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190327002841 | CA | DME Supplier - Orthotic Personnel | 0840530911 | Practice locations: Lake Forest, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- San Clemente, CA
- NPI 1205725629
0840530911
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pioneer Orthotics and Prosthetics | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcuta… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Pioneer Orthotics and Prosthetics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- San Clemente, CA
- NPI 1205725629
-
- Prosthetic/Orthotic Supplier
- Santa Ana, CA
- NPI 1457220360
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthotist
- Lake Forest, CA
- NPI 1821535949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1922590074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926090546",
"telephone_number": "949-945-9606",
"fax_number": "949-945-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23672 BIRTCHER DR UNIT A",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301711",
"telephone_number": "949-945-9606",
"fax_number": "949-945-9604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER ORTHOTICS AND PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "AMIRSHAHROKHI",
"authorized_official_first_name": "DARYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-945-9606",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.