SOLE PROPRIETOR
NPI 1508876442
Prosthetic/Orthotic Supplier in San Diego, CA

Active since August 09, 2006
4224 OHIO ST, SAN DIEGO, CA 92104(619) 280-9174(619) 280-9286 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sole Proprietor NPPES

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

SOLE PROPRIETOR (NPI 1508876442) is a healthcare organization registered as a prosthetic/orthotic supplier in San Diego, California and active in the NPI registry since August 2006. The organization lists Carlos Valenzuela, Certified Orthotist Owner, as its authorized official.

NPPES Registry Identity

NPI1508876442
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCARLOS VALENZUELA
Location Address4224 OHIO STSan Diego, CA 92104-1320
Mailing Address4224 Ohio StSan Diego, CA 92104-1320 · (619) 280-9174 · Fax (619) 280-9286
Fax(619) 280-9286
Organization SubpartNo
Authorized OfficialCarlos ValenzuelaCertified Orthotist Owner · (619) 280-9174
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 9, 2008
NPI 1508876442 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.
4224 OHIO ST, San Diego, CA 92104

Other Names 1

Other NameSole Proprietor

Other Identifiers 2

MedicaidGC000680CA
Medicare NSC0183480001CA

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 Carlos Valenzuela's NPI number?

The NPI number for Carlos Valenzuela is 1508876442. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is also known as Sole Proprietor.

Where is Carlos Valenzuela located?

Carlos Valenzuela is located at 4224 Ohio St, San Diego, CA 92104. The listed phone number is (619) 280-9174.

What is Carlos Valenzuela'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 Carlos Valenzuela was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.