ALPHA ISCANDARI SANUSI BOCPO
NPI 1710534821
Prosthetist in Riverside, CA

Active since August 22, 2019
1760 CHICAGO AVE STE L21, RIVERSIDE, CA 92507(626) 622-3359 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alpha Iscandari Sanusi Bocpo NPPES

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

ALPHA ISCANDARI SANUSI BOCPO (NPI 1710534821) is an individual prosthetist provider in Riverside, California, licensed in California (C51502) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1710534821
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameALPHA ISCANDARI SANUSICredential: BOCPO
Location Address1760 CHICAGO AVE STE L21Riverside, CA 92507-2326
Mailing Address1760 Chicago Ave Ste L21Riverside, CA 92507-2326 · (626) 622-3359
Sole ProprietorNo
Enumeration DateAugust 22, 2019
NPI 1710534821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License Licensed in CA · C51502
Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Also ListedOrthotistTaxonomy 222Z00000X · License C51502 (CA)
1760 CHICAGO AVE STE L21, Riverside, CA 92507

Other Identifiers 1

OtherC51502CA · Orthotist/prosthetist Credential

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.

Home Health
1760 CHICAGO AVE STE L21
RIVERSIDE, CA 92507
Prosthetist
1760 CHICAGO AVE STE L21
RIVERSIDE, CA 92507

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 Alpha Sanusi's NPI number?

The NPI number for Alpha Sanusi is 1710534821. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Alpha Sanusi located?

Alpha Sanusi practices at 1760 Chicago Ave Ste L21, Riverside, CA 92507. The listed phone number is (626) 622-3359.

What is Alpha Sanusi's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Alpha Sanusi was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.