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TIMOTHY D. BULGARELLI NPI 1184811283


NPI Information

NPI: 1184811283
Provider Name: TIMOTHY D. BULGARELLI

Doing Business As: PACIFIC PROSTHETICS & ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
454 N CRAIG AVE
PASADENA, CA
ZIP 91107
Phone: (626) 793-7103
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TIMOTHY D. BULGARELLI is a prosthetic orthotic supplier in Pasadena, CA. The provider is 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. TIMOTHY D. BULGARELLI NPI is 1184811283. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Prosthetics & Orthotics.

The provider's business location address is:

454 N CRAIG AVE
PASADENA, CA
ZIP 91107-460
Phone: (626) 793-7103
Fax: (626) 793-8332

The provider's authorized official is Emma Richardson .
The authorized official title is Office Manager and has the following contact phone number (626) 793-7103.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierCPO00731Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ42904ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
20510550003MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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