PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC
NPI 1043613821
Prosthetic/Orthotic Supplier in Pasadena, CA

Q: What is Pediatric Orthotic And Prosthetic Services-West,llc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since October 07, 2014

909 S FAIR OAKS AVE, PASADENA, CA 91105(626) 389-9411 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2019, Mar 17, 2018, Nov 6, 2017 (3 updates tracked since 2017).

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About Pediatric Orthotic And Prosthetic Services-west,llc NPPES

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

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC (NPI 1043613821) is a healthcare organization registered as a prosthetic/orthotic supplier in Pasadena, California and active in the NPI registry since October 2014. The organization lists Joanne Lynn Kanas, Director, as its authorized official.

NPPES Registry Identity

NPI1043613821

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC

Location Address909 S FAIR OAKS AVEPasadena, CA 91105-2625

Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (813) 367-2876 · Fax (813) 518-7659

Phone(626) 389-9411

Organization SubpartYes

Authorized OfficialJoanne Lynn KanasDirector · (813) 281-7184

Enumeration DateOctober 7, 2014

Last NPPES UpdateApril 23, 20253 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1043613821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in CA · 930000150

Definition

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.

909 S FAIR OAKS AVE, Pasadena, CA 91105

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Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Pediatric Orthotic And Prosthetic carries, from the Medicare DMEPOS supplier directory.

Pediatric Orthotic And Prosthetic

DMEPOS supplier · Pasadena, CAOperated by Pediatric Orthotic And Prosthetic Services-West, LLC

✔

Accepts Medicare assignment

Pediatric Orthotic And Prosthetic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20485187

Medicare Participant SinceJanuary 20, 2015

Supplier Location909 S Fair Oaks AvePasadena, CA 91105

Phone(213) 368-3374

Supplier Specialties

MSC With Respiratory Therapist MSC With Orthotic Personnel MSC With Prosthetic Personnel Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Limb Prostheses

Prosthetic arms, Prosthetic feet, Prosthetic knees

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINE URAUCHI DPT

Physical Therapist