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NPI · 1649290107 · NPPES-sourced

San Joaquin Orthotics & Prosthetics

ActiveProsthetic/Orthotic Supplier
NPI Number
1649290107
Type 2 · Organisation
Taxonomy Code
335E00000X
Contact
(209) 932-0170
License CA · 07-00072230
Last Updated
Enumerated
Primary practice addressCA · 95204-5503
2211 N California StStockton, CA 95204-5503
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About this NPIWhat this record shows.

NPI 1649290107 is registered to San Joaquin Orthotics & Prosthetics, a healthcare organisation classified as "Prosthetic/Orthotic Supplier" and located at 2211 N California St in Stockton, California. The organisation's authorised official is Matthew Evans. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • ZZZ07247ZCA· Issued by BLUE SHIELD

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans San Joaquin Orthotics & Prosthetics accepts. To confirm in-network status with your specific health plan, contact San Joaquin Orthotics & Prosthetics directly at (209) 932-0170.

Frequently asked

Yes. NPI 1649290107 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Prosthetic/Orthotic Supplier is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (209) 932-0170.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. San Joaquin Orthotics & Prosthetics is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy335E00000X
Last updated
Enumerated
StatusActive
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