Advance Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCE ORTHOTICS AND PROSTHETICS

Practice address

1009 N Orange Ave
Azusa, CA 91702-1920

Phone

(626) 757-1920

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Simon LamNPI 1497248215

Title

Manager

Phone

(626) 757-1920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

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

• Simon Lam

  • Prosthetist
  • Azusa, CA
  • NPI 1497248215
  NPD Authorized official
• Shiaw Wen Wu

  • Prosthetist
  • Azusa, CA
  • NPI 1144728569
  NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1982197794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N ORANGE AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021920",
            "telephone_number": "626-757-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N ORANGE AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021920",
            "telephone_number": "626-757-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-757-1920"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A.S.a.P. Patient Ride, LLC
• Aaaa Home Health Care
• Diana Aceves
• Advisors in Placement, Inc
• Veronica M Aguilar
• Mutaz Ahmad, RPH
• James D Ahn, D.D.S.
• Enoma Alade, DDS MPH

• All providers in Azusa, CA
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.