SOUTHERN CALIFORNIA PROSTHETICS, INC.
NPI 1639404015
Prosthetic/Orthotic Supplier in Santa Ana, CA

NPI Status: Active since October 02, 2009

Contact Information

1801 PARKCOURT PL
BLDG B
SANTA ANA, CA
ZIP 92701
Phone: (949) 892-5338
Fax: (949) 419-6478

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About SOUTHERN CALIFORNIA PROSTHETICS, INC.

This page provides the complete NPI Profile along with additional information for Southern California Prosthetics, Inc., a provider established in Santa Ana, California operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1639404015 assigned on October 2009. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Richard Myers (President)

NPI
1639404015
Provider Name
SOUTHERN CALIFORNIA PROSTHETICS, INC.
Entity Type
Organization
Location Address
1801 PARKCOURT PL BLDG B SANTA ANA, CA 92701
Location Phone
(949) 892-5338
Location Fax
(949) 419-6478
Mailing Address
1801 PARKCOURT PL BLDG B SANTA ANA, CA 92701
Mailing Phone
(949) 892-5338
Mailing Fax
(949) 419-6478
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2009
Last Update Date
08-01-2022
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Southern California Prosthetics, Inc. is a medicare supplier with PTAN 20547575 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Limb Prostheses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RICHARD MYERS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(949) 533-8349

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20547575
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639404015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266980802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 0 + 8 + 0 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639404015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639404015, enumerated in the NPI registry as an "organization" on October 02, 2009

The provider is located at 1801 Parkcourt Pl Bldg B Santa Ana, Ca 92701 and the phone number is (949) 892-5338

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

This NPI record was last updated on October 02, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.