Individual provider Active NPI

Jon Tyra Rikimaru, CPO

  • Prosthetist
  • Lake Forest, CA
National Provider Identifier
1952255770
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
2 S Pointe Dr Ste 240
Lake Forest, CA 92630-2281
Phone
(949) 699-0600
Fax
(949) 699-0600
NPI assigned
Feb 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X
Prosthetist 224P00000X Primary

Addresses

Primary practice location

2 S Pointe Dr Ste 240
Lake Forest, CA 92630-2281

Mailing address

2 S Pointe Dr Ste 240
Lake Forest, CA 92630-2281
Phone (949) 699-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Prosthetic Solutions, Inc Current Accepting new patients

Locations

2 S Pointe Dr
Ste 240
Lake Forest, CA 92630
Phone (949) 699-0600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1952255770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S POINTE DR STE 240",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302281",
            "telephone_number": "949-699-0600",
            "fax_number": "949-699-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S POINTE DR STE 240",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302281",
            "telephone_number": "949-699-0600",
            "fax_number": "949-699-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKIMARU",
        "first_name": "JON",
        "middle_name": "TYRA",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.