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BEVERLY ORTHOPEDIC LABORATORY INC.
NPI 1487359832
Prosthetic/Orthotic Supplier in Riverside, CA

Active since April 04, 2023
4150 LATHAM STREET SUITE:G, RIVERSIDE, CA 92501(951) 742-5127(951) 742-5184 Get Directions Write a Review

NPPES record last updated: April 4, 2023. 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 1487359832) is a healthcare organization registered as a prosthetic/orthotic supplier in Riverside, California and active in the NPI registry since April 2023. The organization lists Sanjay S Kawankar, Ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1487359832
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBEVERLY ORTHOPEDIC LABORATORY INC.
Location Address4150 LATHAM STREET SUITE:GRiverside, CA 92501-0001
Mailing Address2625 W Beverly BlvdMontebello, CA 90640-0031 · (323) 727-2887 · Fax (323) 727-2854
Phone(951) 742-5127
Fax(951) 742-5184
Organization SubpartYes
Authorized OfficialSanjay S KawankarCeo/cfo · (323) 727-2887
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1487359832 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
4150 LATHAM STREET SUITE:G, Riverside, CA 92501
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Medical Equipment Supplier Medicare DMEPOS 7

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

Beverly Orthopedic Laboratory Inc

DMEPOS supplier · Riverside, 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)21610647
Medicare Participant SinceJanuary 1, 1998
Supplier Location4150 Latham Street Suite GRiverside, CA 92501
Phone(951) 742-5127
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.

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 1487359832. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Beverly Orthopedic Laboratory Inc. located?

Beverly Orthopedic Laboratory Inc. is located at 4150 Latham Street Suite:g, Riverside, CA 92501. The listed phone number is (951) 742-5127.

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 April 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.