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M&G CUSTOM SHOES AND ORTHOTICS LLC
NPI 1609135029
Prosthetic/Orthotic Supplier in Walnut Creek, CA

Active since May 04, 2012
2950 BUSKIRK AVE, SUITE 300, WALNUT CREEK, CA 94597(925) 305-1855(925) 755-8601 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About M&g Custom Shoes And Orthotics Llc NPPES

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

M&G CUSTOM SHOES AND ORTHOTICS LLC (NPI 1609135029) is a healthcare organization registered as a prosthetic/orthotic supplier in Walnut Creek, California and active in the NPI registry since May 2012. The organization lists Gregory R Banting, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1609135029
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameM&G CUSTOM SHOES AND ORTHOTICS LLC
Location Address2950 BUSKIRK AVE, SUITE 300Walnut Creek, CA 94597-7779
Mailing Address1504 A StAntioch, CA 94509-2333 · (925) 305-1855 · Fax (925) 755-8601
Phone(925) 305-1855
Fax(925) 755-8601
Organization SubpartNo
Authorized OfficialGregory R BantingOwner/partner · (925) 305-1855
Enumeration DateMay 4, 2012
Last NPPES UpdateMay 9, 2012
✔ NPI 1609135029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in CA · CPED0350
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.
2950 BUSKIRK AVE, Walnut Creek, CA 94597
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Other Identifiers 1

Medicare NSC6080170001CA

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.

CAL PSYCHIATRIC SERVICES
Clinic/Center (Adolescent and Children Mental Health)
2950 BUSKIRK AVE, SUITE 300
WALNUT CREEK, CA 94597
Contra Costa County (925) 407-2159
SHIELD CALIFORNIA HEALTH CARE CENTER INC
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
2950 BUSKIRK AVE, SUITE 180
WALNUT CREEK, CA 94597
Contra Costa County (800) 675-8840

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 M&g Custom Shoes And Orthotics LLC's NPI number?

The NPI number for M&g Custom Shoes And Orthotics LLC is 1609135029. It was assigned to this organization in the NPPES registry on May 4, 2012.

Where is M&g Custom Shoes And Orthotics LLC located?

M&g Custom Shoes And Orthotics LLC is located at 2950 Buskirk Ave Suite 300, Walnut Creek, CA 94597. The listed phone number is (925) 305-1855.

What is M&g Custom Shoes And Orthotics LLC'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 M&g Custom Shoes And Orthotics LLC was last updated on May 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.