Organization Active NPI

Hemet Prosthetic & Orthotic Group, Inc.

  • Prosthetic/Orthotic Supplier
  • Temecula, CA
National Provider Identifier
1932365673
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
Practice address
41785 Enterprise Cir S
#E
Temecula, CA 92590-9804
Phone
(951) 296-9677
Fax
(951) 296-9681
NPI assigned
Aug 1, 2008
Organization subpart
Yes
Parent organization
HEMET PROSTHETIC & ORTHOTIC GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Mr. Wayne Allen Kaufman, C.P.O.
Title
President
Phone
(951) 766-4297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

41785 Enterprise Cir S
#E
Temecula, CA 92590-9804

Mailing address

1133 E Florida Ave
Hemet, CA 92543-4512
Phone (951) 766-4297

Other identifiers 1

IdentifierTypeStateIssuer
XBOO15640MedicaidCA

Other names 1

  • HEMET PROSTHETIC & ORTHOTIC GROUP, INC. Other name

National Provider Directory

National Provider Directory
Part of
Hemet Prosthetic Orthotic Group Inc

Locations

1133 E Florida Ave
Hemet, CA 92543
Phone (951) 766-4297

41785 Enterprise Cir S
Ste E
Temecula, CA 92590
Phone (951) 296-9677

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1932365673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434512",
            "telephone_number": "951-766-4297",
            "fax_number": "951-766-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41785 ENTERPRISE CIR S",
            "address_2": "#E",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925909804",
            "telephone_number": "951-296-9677",
            "fax_number": "951-296-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET PROSTHETIC & ORTHOTIC GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEMET PROSTHETIC & ORTHOTIC GROUP, INC.",
        "enumeration_date": "2008-08-01",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-766-4297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XBOO15640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEMET PROSTHETIC & ORTHOTIC GROUP, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.