ALPHA ISCANDARI SANUSI BOCPO NPI 1710534821

NPI Information

  • NPI: 1710534821
  • Provider Name: ALPHA ISCANDARI SANUSI, BOCPO
  • Classification: Prosthetist - 224P00000X
  • Entity Type: Individual
  • Address: 1760 CHICAGO AVE STE L21
    RIVERSIDE, CA
    ZIP 92507
  • Phone: (626) 622-3359

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NPI Details

Alpha Iscandari Sanusi, BOCPO is a prosthetist in Riverside, CA. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Alpha Iscandari Sanusi, BOCPO NPI is 1710534821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1760 CHICAGO AVE STE L21
RIVERSIDE, CA
ZIP 92507-326
Phone: (626) 622-3359

The enumeration date for this NPI number is 8/22/2019 and was last updated on 8/22/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotistC51502CALIFORNIANo
2224P00000XProsthetistC51502CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C51502OTHERCALIFORNIAORTHOTIST/PROSTHETIST CREDENTIAL

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: 11/21/2025

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