Timothy D. Bulgarelli

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO00731

Legal business name

TIMOTHY D. BULGARELLI

Practice address

44404 16TH St W
Suite 108
Lancaster, CA 93534-2839

Phone

(661) 974-7037

Fax

(661) 974-7038

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Timothy D Bulgarelli, CPO

Title

Owner

Phone

(626) 793-7103

Specialties & licenses 1

Addresses

Other names 1

• Pacific Prosthetics & Orthotics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean M Keckhut, OTR/L, CHT

  • Occupational Therapist
  • Anchorage, AK
  • NPI 1881767986
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1952581563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 N CRAIG AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072460",
            "telephone_number": "626-793-7103",
            "fax_number": "626-793-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44404 16TH ST W",
            "address_2": "SUITE 108",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342839",
            "telephone_number": "661-974-7037",
            "fax_number": "661-974-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D. BULGARELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BULGARELLI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-793-7103",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CPO00731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karen H Tison, M.D.
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• Prosthetic/Orthotic Supplier in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.