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MR. SAMUEL MALDONADO JR. BOCO
NPI 1013456979
Orthotist in Fullerton, CA

Active since February 13, 2017
2151 N. HARBOR BLVD, SUITE 1200, FULLERTON, CA 92835(714) 871-9960(714) 871-9965 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Samuel Maldonado Jr. Boco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL MALDONADO JR. BOCO (NPI 1013456979) is an individual orthotist provider in Fullerton, California, licensed in California (C50102) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1013456979
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. SAMUEL MALDONADO JR.Credential: BOCO
Location Address2151 N. HARBOR BLVD, SUITE 1200Fullerton, CA 92835-3821
Mailing Address2151 N. Harbor Blvd, Suite 1200Fullerton, CA 92835-3821 · (714) 871-9960 · Fax (714) 871-9965
Phone(714) 871-9960
Fax(714) 871-9965
Sole ProprietorNo
Enumeration DateFebruary 13, 2017
✔ NPI 1013456979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in CA · C50102
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
2151 N. HARBOR BLVD, Fullerton, CA 92835
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Maldonado's NPI number?

The NPI number for Samuel Maldonado is 1013456979. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Samuel Maldonado located?

Samuel Maldonado practices at 2151 N. Harbor Blvd Suite 1200, Fullerton, CA 92835. The listed phone number is (714) 871-9960.

What is Samuel Maldonado's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Samuel Maldonado was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.