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SAN JOAQUIN ORTHOTICS & PROSTHETICS
NPI 1649290107
Prosthetic/Orthotic Supplier in Stockton, CA

Active since July 20, 2006
2211 N CALIFORNIA ST, STOCKTON, CA 95204(209) 932-0170(209) 932-0172 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Joaquin Orthotics & Prosthetics NPPES

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

SAN JOAQUIN ORTHOTICS & PROSTHETICS (NPI 1649290107) is a healthcare organization registered as a prosthetic/orthotic supplier in Stockton, California and active in the NPI registry since July 2006. The organization lists Matthew Shane Evans, Business Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1649290107
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSAN JOAQUIN ORTHOTICS & PROSTHETICS
Location Address2211 N CALIFORNIA STStockton, CA 95204-5503
Mailing Address2211 N California StStockton, CA 95204-5503 · (209) 932-0170 · Fax (209) 932-0172
Phone(209) 932-0170
Fax(209) 932-0172
Organization SubpartNo
Authorized OfficialMatthew Shane EvansBusiness Owner/manager · (209) 932-0170
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1649290107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in CA · 07-00072230
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.
2211 N CALIFORNIA ST, Stockton, CA 95204
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Other Identifiers 2

OtherZZZ07247ZCA · Blue Shield
Medicare ID-Type Unspecified4879760001CA

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories San Joaquin Orthotics & Prosthetics carries, from the Medicare DMEPOS supplier directory.

San Joaquin Orthotics & Prosthetics

DMEPOS supplier · Stockton, CA
⋮

Does not accept Medicare assignment

San Joaquin Orthotics & Prosthetics 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)20599367
Medicare Participant SinceAugust 25, 2003
Supplier Location2211 N California StStockton, CA 95204
Phone(209) 932-0170
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
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 San Joaquin Orthotics & Prosthetics's NPI number?

The NPI number for San Joaquin Orthotics & Prosthetics is 1649290107. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is San Joaquin Orthotics & Prosthetics located?

San Joaquin Orthotics & Prosthetics is located at 2211 N California St, Stockton, CA 95204. The listed phone number is (209) 932-0170.

What is San Joaquin Orthotics & Prosthetics's specialty?

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

Does San Joaquin Orthotics & Prosthetics accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, San Joaquin Orthotics & Prosthetics 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 San Joaquin Orthotics & Prosthetics was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.