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LEGACY PROSTHETICS & ORTHOTICS
NPI 1356030399
Prosthetic/Orthotic Supplier in Palm Desert, CA

Active since May 04, 2023
75150 SHERYL AVE STE A, PALM DESERT, CA 92211(760) 345-4779(760) 772-3904 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Prosthetics & Orthotics NPPES

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

LEGACY PROSTHETICS & ORTHOTICS (NPI 1356030399), doing business as Coachella Valley Prosthetics And Orthotics, is a healthcare organization registered as a prosthetic/orthotic supplier in Palm Desert, California and active in the NPI registry since May 2023. The organization lists Jose R Ledezma, Vicepresident, as its authorized official.

NPPES Registry Identity

NPI1356030399
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLEGACY PROSTHETICS & ORTHOTICS
Location Address75150 SHERYL AVE STE APalm Desert, CA 92211-5118
Mailing Address75150 Sheryl Ave Ste APalm Desert, CA 92211-5118 · (760) 345-4779
Phone(760) 345-4779
Fax(760) 772-3904
Organization SubpartNo
Authorized OfficialJose R LedezmaVicepresident · (760) 216-3009
Enumeration DateMay 4, 2023
NPPES CertifiedMay 4, 2023
✔ NPI 1356030399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
75150 SHERYL AVE STE A, Palm Desert, CA 92211
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Other Names 1

Doing Business AsCoachella Valley Prosthetics And Orthotics

Other Providers at the Same Location NPPES 4

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

PROSTHETIC & ORTHOTIC MANAGEMENT INC
Durable Medical Equipment & Medical Supplies
75150 SHERYL AVE STE A
PALM DESERT, CA 92211
Riverside County (760) 345-4779
JOSE RAMON LEDEZMA CPOA CFO
Prosthetic/Orthotic Supplier
75150 SHERYL AVE STE A
PALM DESERT, CA 92211
Riverside County (760) 216-3009
RUSSELL HENRY MOLINA
Prosthetist
75150 SHERYL AVE STE A
PALM DESERT, CA 92211
Riverside County (949) 241-5901
MR. RUSSELL JOHN MOLINA CPO
Specialist
75150 SHERYL AVE STE A
PALM DESERT, CA 92211
Riverside County (760) 345-4779

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 Legacy Prosthetics & Orthotics's NPI number?

The NPI number for Legacy Prosthetics & Orthotics is 1356030399. It was assigned to this organization in the NPPES registry on May 4, 2023. The provider is doing business as Coachella Valley Prosthetics and Orthotics.

Where is Legacy Prosthetics & Orthotics located?

Legacy Prosthetics & Orthotics is located at 75150 Sheryl Ave Ste A, Palm Desert, CA 92211. The listed phone number is (760) 345-4779.

What is Legacy Prosthetics & Orthotics's specialty?

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

When was this NPI record last updated?

The NPPES record for Legacy Prosthetics & Orthotics was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.