INNOVATIVE PROSTHETIC SOLUTIONS, INC
NPI 1487639647
Prosthetic/Orthotic Supplier in Lake Forest, CA

Q: What is Innovative Prosthetic Solutions, Inc's NPI number?

The NPI number for Innovative Prosthetic Solutions, Inc is 1487639647. It was assigned to this organization in the NPPES registry on December 9, 2005.

Q: What is Innovative Prosthetic Solutions, Inc's specialty?

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

Active since December 09, 2005

2 S POINTE DR STE 240, LAKE FOREST, CA 92630(949) 699-0600 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Feb 28, 2018 (2 updates tracked since 2018).

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About Innovative Prosthetic Solutions, Inc NPPES

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

INNOVATIVE PROSTHETIC SOLUTIONS, INC (NPI 1487639647) is a healthcare organization registered as a prosthetic/orthotic supplier in Lake Forest, California and active in the NPI registry since December 2005. The organization lists Jon Tyra Rikimaru, President, as its authorized official.

NPPES Registry Identity

NPI1487639647

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameINNOVATIVE PROSTHETIC SOLUTIONS, INC

Location Address2 S POINTE DR STE 240Lake Forest, CA 92630-2281

Mailing Address2 S Pointe Dr Ste 240Lake Forest, CA 92630-2281 · (949) 699-0600

Phone(949) 699-0600

Organization SubpartNo

Authorized OfficialJon Tyra RikimaruPresident · (949) 699-0600

Enumeration DateDecember 9, 2005

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1487639647 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.

2 S POINTE DR STE 240, Lake Forest, CA 92630

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Other Identifiers 2

MedicaidXC0010901CA

OtherZZZ65372ZCA · Blue Shield Of Ca

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Innovative Prosethetic Solutions In carries, from the Medicare DMEPOS supplier directory.

Innovative Prosethetic Solutions In

DMEPOS supplier · Lake Forest, CAOperated by Innovative Prosthetic Solutions, Inc

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Does not accept Medicare assignment

Innovative Prosethetic Solutions In 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)20582045

Medicare Participant SinceJanuary 7, 2005

Supplier Location2 S Pointe Dr Ste 240Lake Forest, CA 92630

Phone(949) 699-0600

Supplier Specialties

MSC With Orthotic-Prosthetic

Medicare Product Categories

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

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

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

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

MR. JON TYRA RIKIMARU CPO

Prosthetist

2 S POINTE DR STE 240
LAKE FOREST, CA 92630

Orange County (949) 699-0600

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 Innovative Prosthetic Solutions, Inc's NPI number?

The NPI number for Innovative Prosthetic Solutions, Inc is 1487639647. It was assigned to this organization in the NPPES registry on December 9, 2005.

Where is Innovative Prosthetic Solutions, Inc located?

Innovative Prosthetic Solutions, Inc is located at 2 S Pointe Dr Ste 240, Lake Forest, CA 92630. The listed phone number is (949) 699-0600.

What is Innovative Prosthetic Solutions, Inc's specialty?

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

Does Innovative Prosthetic Solutions, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Innovative Prosethetic Solutions In 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 Innovative Prosthetic Solutions, Inc was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.