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BEVERLY ORTHOPEDIC LABORATORY INC
NPI 1407449648
Prosthetic/Orthotic Supplier in Santa Ana, CA

Active since February 18, 2021
801 N. TUSTIN AVE, #203, SANTA ANA, CA 92705(657) 247-4301(657) 247-4320 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly Orthopedic Laboratory Inc NPPES

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

BEVERLY ORTHOPEDIC LABORATORY INC (NPI 1407449648) is a healthcare organization registered as a prosthetic/orthotic supplier in Santa Ana, California and active in the NPI registry since February 2021. The organization lists Sanjay Suresh Kawankar, Ceo / Cfo Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1407449648
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBEVERLY ORTHOPEDIC LABORATORY INC
Location Address801 N. TUSTIN AVE, #203Santa Ana, CA 92705
Mailing Address2625 W. Beverly BlvdMontebello, CA 90640
Phone(657) 247-4301
Fax(657) 247-4320
Organization SubpartYes
Authorized OfficialSanjay Suresh KawankarCeo / Cfo Practice Manager · (323) 727-2887
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1407449648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
801 N. TUSTIN AVE, Santa Ana, CA 92705
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Other Identifiers 1

MedicaidXC0008150CA

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Beverly Orthopedic Laboratory Inc carries, from the Medicare DMEPOS supplier directory.

Beverly Orthopedic Laboratory Inc

DMEPOS supplier · Santa Ana, CA
⋮

Does not accept Medicare assignment

Beverly Orthopedic Laboratory Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21610641
Medicare Participant SinceJanuary 1, 1998
Supplier Location801 N Tustin Ave #203Santa Ana, CA 92705
Phone(657) 247-4301
Supplier Specialties
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
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
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 2

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

MR. HARINDER S. GOGIA M.D.
Internal Medicine (Interventional Cardiology)
801 N. TUSTIN AVE, SUITE 706
SANTA ANA, CA 92705
Orange County (714) 568-6600
DR. KENNETH LEONARD NUDLEMAN MD
Psychiatry & Neurology (Neurology)
801 N. TUSTIN AVE, SUITE 304
SANTA ANA, CA 92705
Orange County (714) 542-7996

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 Beverly Orthopedic Laboratory Inc's NPI number?

The NPI number for Beverly Orthopedic Laboratory Inc is 1407449648. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Beverly Orthopedic Laboratory Inc located?

Beverly Orthopedic Laboratory Inc is located at 801 N. Tustin Ave #203, Santa Ana, CA 92705. The listed phone number is (657) 247-4301.

What is Beverly Orthopedic Laboratory Inc's specialty?

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

Does Beverly Orthopedic Laboratory Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Beverly Orthopedic Laboratory Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Beverly Orthopedic Laboratory Inc was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.