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SIERRA ORTHOPEDIC LABORATORY, INC.
NPI 1659366003
Prosthetic/Orthotic Supplier in Santa Rosa, CA

Active since September 13, 2005
4847 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 528-9808(707) 528-9818 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sierra Orthopedic Laboratory, Inc. NPPES

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

SIERRA ORTHOPEDIC LABORATORY, INC. (NPI 1659366003) is a healthcare organization registered as a prosthetic/orthotic supplier in Santa Rosa, California and active in the NPI registry since September 2005. The organization lists David John Jeffries, Owner, as its authorized official.

NPPES Registry Identity

NPI1659366003
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSIERRA ORTHOPEDIC LABORATORY, INC.
Location Address4847 OLD REDWOOD HWYSanta Rosa, CA 95403-1415
Mailing Address4847 Old Redwood HwySanta Rosa, CA 95403-1415 · (707) 528-9808 · Fax (707) 528-9818
Phone(707) 528-9808
Fax(707) 528-9818
Organization SubpartNo
Authorized OfficialDavid John JeffriesOwner · (707) 528-9808
Enumeration DateSeptember 13, 2005
Last NPPES UpdateMarch 18, 2014
✔ NPI 1659366003 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.
4847 OLD REDWOOD HWY, Santa Rosa, CA 95403
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Other Identifiers 3

MedicaidGFC000230CA
MedicaidCMS162587CA
Medicare PIN0296350001

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Sierra Orthopedic Laboratory Inc carries, from the Medicare DMEPOS supplier directory.

Sierra Orthopedic Laboratory Inc

DMEPOS supplier · Santa Rosa, CA
✔

Accepts Medicare assignment

Sierra Orthopedic Laboratory Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20637773
Medicare Participant SinceJanuary 1, 1998
Supplier Location4847 Old Redwood HwySanta Rosa, CA 95403
Phone(707) 528-9808
Supplier Specialties
MSC With Orthotic-Prosthetic 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

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

MR. DAVID JOHN JEFFRIES C.O.
Orthotist
4847 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 528-9808

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 Sierra Orthopedic Laboratory, Inc.'s NPI number?

The NPI number for Sierra Orthopedic Laboratory, Inc. is 1659366003. It was assigned to this organization in the NPPES registry on September 13, 2005.

Where is Sierra Orthopedic Laboratory, Inc. located?

Sierra Orthopedic Laboratory, Inc. is located at 4847 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 528-9808.

What is Sierra Orthopedic Laboratory, Inc.'s specialty?

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

Does Sierra Orthopedic Laboratory, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sierra Orthopedic Laboratory Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Sierra Orthopedic Laboratory, Inc. was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.