Active NPI
Prosthetic & Orthotic Management Inc
- Durable Medical Equipment & Medical Supplies
- Palm Springs, CA
National Provider Identifier
1932890837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PROSTHETIC & ORTHOTIC MANAGEMENT INC
- Doing business as
- Prosthetic & Orthotics Management Inc
- Practice address
- 1080 N Indian Canyon Dr Ste 203
Palm Springs, CA 92262-4871 - Phone
- (760) 345-4779
- Fax
- (760) 772-3904
- NPI assigned
- May 19, 2023
- Organization subpart
- Yes
- Parent organization
- COACHELLA VALLEY ORTHOTICS & PROSTHETICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Russell John Molina, CPO
- Title
- Owner
- Phone
- (760) 345-4779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1080 N Indian Canyon Dr Ste 203
Palm Springs, CA 92262-4871
Mailing address
1080 N Indian Canyon Dr Ste 203
Palm Springs, CA 92262-4871
Phone (760) 345-4779
Other names 1
- Prosthetic & Orthotics Management Inc
National Provider Directory
National Provider Directory- Part of
- Prosthetic Orthotic Management Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Palm Desert, CA
- NPI 1962456855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1932890837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 N INDIAN CANYON DR STE 203",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624871",
"telephone_number": "760-345-4779",
"fax_number": "760-772-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 N INDIAN CANYON DR STE 203",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624871",
"telephone_number": "760-345-4779",
"fax_number": "760-772-3904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHETIC & ORTHOTIC MANAGEMENT INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COACHELLA VALLEY ORTHOTICS & PROSTHETICS",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "MOLINA",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-345-4779",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prosthetic & Orthotics Management Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.