Organization Active NPI

Prosthetic & Orthotic Management Inc

  • Durable Medical Equipment & Medical Supplies
  • Palm Springs, CA
National Provider Identifier
1932890837
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 & PROSTHETICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Mr. Russell John Molina, CPONPI 1962456855
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.