Active NPI
Hemet Prosthetic & Orthotic Group, Inc.
- Prosthetic/Orthotic Supplier
- Temecula, CA
National Provider Identifier
1932365673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XBOO15640 | Medicaid | CA |
Other names 1
- HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
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.
-
- Prosthetic/Orthotic Supplier
- Hemet, CA
- NPI 1881648467
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.