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BLUEBIRD ORTHOTICS AND PROSTHETICS INC. NPI 1700828944


NPI Information

NPI: 1700828944
Provider Name: BLUEBIRD ORTHOTICS AND PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4373 VIEWRIDGE AVE
STE A
SAN DIEGO, CA
ZIP 92123
Phone: (858) 874-6750
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BLUEBIRD ORTHOTICS AND PROSTHETICS, INC. is a prosthetic orthotic supplier in San Diego, 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. BLUEBIRD ORTHOTICS AND PROSTHETICS, INC. NPI is 1700828944. The provider is registered as an organization entity type.

The provider's business location address is:

4373 VIEWRIDGE AVE
STE A
SAN DIEGO, CA
ZIP 92123-619
Phone: (858) 874-6750
Fax: (858) 874-6736

The provider's authorized official is Karen Maya .
The authorized official title is Office Manager and has the following contact phone number (858) 874-6750.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/17/2009.


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 Supplier97948241CALIFORNIAYes

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
14460790001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
2GXA000080MEDICAIDCALIFORNIA

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: 4/28/2024

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