Organization Active NPI

Alcam Medical Inc.

  • Prosthetic/Orthotic Supplier
  • Santa Ana, CA
National Provider Identifier
1952759359
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ALCAM MEDICAL INC.
Practice address
1533 S Grand Ave
Santa Ana, CA 92705-4410
Phone
(951) 782-7000
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mr. Alpha Sanusi, CPO
Title
President
Phone
(951) 782-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1533 S Grand Ave
Santa Ana, CA 92705-4410

Mailing address

1760 Chicago Ave
Ste L21
Riverside, CA 92507-4410
Phone (951) 782-7000

National Provider Directory

National Provider Directory

Locations

1533 S Grand Ave
Santa Ana, CA 92705
Phone 86684771871001

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1952759359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CHICAGO AVE",
            "address_2": "STE L21",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074410",
            "telephone_number": "951-782-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S GRAND AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054410",
            "telephone_number": "951-782-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCAM MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SANUSI",
        "authorized_official_first_name": "ALPHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-782-7000",
        "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": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.