Organization Active NPI

Restore Medical Inc.

Doing business as Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Vacaville, CA
National Provider Identifier
1932657103
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RESTORE MEDICAL INC.
Doing business as
Restore Orthotics and Prosthetics
Practice address
770 Mason St Ste 115
Vacaville, CA 95688-4647
Phone
(707) 359-4642
Fax
(707) 359-4613
NPI assigned
Sep 16, 2016
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Kati Auxier
Title
Coo
Phone
(925) 523-7670

Specialties & licenses 1

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

Addresses

Primary practice location

770 Mason St Ste 115
Vacaville, CA 95688-4647

Mailing address

3958 Valley Ave Ste H
Pleasanton, CA 94566-4701
Phone (925) 523-7670

Other names 1

  • Restore Orthotics and Prosthetics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL direct Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170912002425 CA DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Pedorthic Personnel 1759697485 Practice locations: Vacaville, CA

Other NPIs with the same Medicare PAC ID 4

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
Restore Medical Inc770 Mason St, Vacaville, CA 95688-4647(707) 359-4642 Continuous Passive Motion (CPM) Devices|Osteogenesis Stimulators|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

1350 Burton Dr
Ste 210
Vacaville, CA 95687
Phone (707) 359-4642

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1932657103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 VALLEY AVE STE H",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664701",
            "telephone_number": "925-523-7670",
            "fax_number": "925-399-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MASON ST STE 115",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884647",
            "telephone_number": "707-359-4642",
            "fax_number": "707-359-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "AUXIER",
        "authorized_official_first_name": "KATI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "925-523-7670"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "direct",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "770 Mason St Ste 115",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956884647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restore Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.