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PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC
NPI 1548718612
Prosthetic/Orthotic Supplier in Duarte, CA

Active since September 16, 2016
931 BUENA VISTA ST STE 105, DUARTE, CA 91010(626) 256-1415(626) 256-1405 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Sep 15, 2025, Sep 12, 2025 and 1 more (4 updates tracked since 2016).

About Prosthetic & Orthotic Group San Gabriel Valley, Inc NPPES

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

PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC (NPI 1548718612) is a healthcare organization registered as a prosthetic/orthotic supplier in Duarte, California and active in the NPI registry since September 2016. The organization lists Ivan Sabel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548718612
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC
Location Address931 BUENA VISTA ST STE 105Duarte, CA 91010
Mailing Address931 Buena Vista St Ste 105Duarte, CA 91010-1780 · (626) 256-1415 · Fax (626) 256-1405
Phone(626) 256-1415
Fax(626) 256-1405
Organization SubpartNo
Authorized OfficialIvan SabelCeo · (626) 256-1415
Enumeration DateSeptember 16, 2016
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1548718612 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.
931 BUENA VISTA ST STE 105, Duarte, CA 91010
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Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Prosthetic & Orthotic Group Sgv carries, from the Medicare DMEPOS supplier directory.

Prosthetic & Orthotic Group Sgv

DMEPOS supplier · Duarte, CAOperated by Prosthetic & Orthotic Group San Gabriel Valley, Inc
⋮

Does not accept Medicare assignment

Prosthetic & Orthotic Group Sgv 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)20456129
Medicare Participant SinceFebruary 28, 2018
Supplier Location931 Buena Vista St Ste 105Duarte, CA 91010
Phone(626) 256-1415
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
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated 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.

JACK E. SOULIS CPO
Orthotist
931 BUENA VISTA ST STE 105
DUARTE, CA 91010
Los Angeles County (626) 256-1415
MARK A. RODRIGUEZ CPO
Orthotist
931 BUENA VISTA ST STE 105
DUARTE, CA 91010
Los Angeles County (626) 256-1415

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 Prosthetic & Orthotic Group San Gabriel Valley, Inc's NPI number?

The NPI number for Prosthetic & Orthotic Group San Gabriel Valley, Inc is 1548718612. It was assigned to this organization in the NPPES registry on September 16, 2016.

Where is Prosthetic & Orthotic Group San Gabriel Valley, Inc located?

Prosthetic & Orthotic Group San Gabriel Valley, Inc is located at 931 Buena Vista St Ste 105, Duarte, CA 91010. The listed phone number is (626) 256-1415.

What is Prosthetic & Orthotic Group San Gabriel Valley, Inc's specialty?

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

Does Prosthetic & Orthotic Group San Gabriel Valley, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prosthetic & Orthotic Group Sgv 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 Prosthetic & Orthotic Group San Gabriel Valley, Inc was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.