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CENTRAL ORTHOTIC & PROSTHETIC LLC
NPI 1760119168
Prosthetic/Orthotic Supplier in Fresno, CA

Active since August 04, 2022
2039 N FINE AVE, FRESNO, CA 93727(559) 251-5557 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2024, Oct 30, 2023, Oct 11, 2023 and 2 more (5 updates tracked since 2022).

About Central Orthotic & Prosthetic Llc NPPES

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

CENTRAL ORTHOTIC & PROSTHETIC LLC (NPI 1760119168) is a healthcare organization registered as a prosthetic/orthotic supplier in Fresno, California and active in the NPI registry since August 2022. The organization lists Randy S Vallembois, Owner, as its authorized official.

NPPES Registry Identity

NPI1760119168
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCENTRAL ORTHOTIC & PROSTHETIC LLC
Location Address2039 N FINE AVEFresno, CA 93727-1512
Mailing Address2039 N Fine AveFresno, CA 93727-1512 · (559) 251-5557
Phone(559) 251-5557
Organization SubpartNo
Authorized OfficialRandy S VallemboisOwner · (559) 776-8512
Enumeration DateAugust 4, 2022
Last NPPES UpdateApril 10, 20245 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1760119168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedOrthotistTaxonomy 222Z00000X
Also ListedProsthetistTaxonomy 224P00000X
Also ListedOrthotic FitterTaxonomy 225000000X
2039 N FINE AVE, Fresno, CA 93727
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 6

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

Central Orthotics & Prosthetics

DMEPOS supplier · Fresno, CAOperated by Central Orthotic & Prosthetic LLC
✔

Accepts Medicare assignment

Central Orthotics & Prosthetics 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)26717416
Medicare Participant SinceJuly 12, 2024
Supplier Location2039 N Fine AveFresno, CA 93727
Phone(559) 251-5557
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 4

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

RANDY S VALLEMBOIS CPO
Prosthetist
2039 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 251-5557
TAMMY LYNN DIRKSEN CO
Orthotist
2039 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 251-5557
TAMMY L DIRKSEN
Prosthetic/Orthotic Supplier
2039 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 251-5557
SCOTT G WOLF PROSTHETIST
Prosthetic/Orthotic Supplier
2039 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 251-5557

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 Central Orthotic & Prosthetic LLC's NPI number?

The NPI number for Central Orthotic & Prosthetic LLC is 1760119168. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Central Orthotic & Prosthetic LLC located?

Central Orthotic & Prosthetic LLC is located at 2039 N Fine Ave, Fresno, CA 93727. The listed phone number is (559) 251-5557.

What is Central Orthotic & Prosthetic LLC's specialty?

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

Does Central Orthotic & Prosthetic LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Central Orthotics & Prosthetics 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 Central Orthotic & Prosthetic LLC was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.