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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST, LLC
NPI 1811213549
Prosthetic/Orthotic Supplier in Sacramento, CA

Active since April 20, 2010
2425 STOCKTON BLVD, SUITE 236, SACRAMENTO, CA 95817(916) 453-2170(916) 453-5024 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Orthotic And Prosthetic Services-west, Llc NPPES

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

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST, LLC (NPI 1811213549) is a healthcare organization registered as a prosthetic/orthotic supplier in Sacramento, California and active in the NPI registry since April 2010. The organization lists Michael Wadekamper, Manager, as its authorized official.

NPPES Registry Identity

NPI1811213549
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST, LLC
Location Address2425 STOCKTON BLVD, SUITE 236Sacramento, CA 95817-2215
Mailing AddressPo Box 947109Atlanta, GA 30394-7109 · (916) 453-2170 · Fax (916) 453-5024
Phone(916) 453-2170
Fax(916) 453-5024
Organization SubpartNo
Authorized OfficialMichael WadekamperManager · (916) 453-2170
Enumeration DateApril 20, 2010
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1811213549 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.
2425 STOCKTON BLVD, Sacramento, CA 95817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Pediatric Orthotic And Prosthetic S carries, from the Medicare DMEPOS supplier directory.

Pediatric Orthotic And Prosthetic S

DMEPOS supplier · Sacramento, CAOperated by Pediatric Orthotic And Prosthetic Services-West, LLC
✔

Accepts Medicare assignment

Pediatric Orthotic And Prosthetic S 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)20485217
Medicare Participant SinceJanuary 20, 2015
Supplier Location2425 Stockton BlvdSacramento, CA 95817
Phone(813) 697-1176
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 20

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

SHRINERS HOSPITAL PHARMACY
Pharmacy
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2000
KOU HER RN
Registered Nurse (Pediatrics)
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2000
DR. VEDANT ASHOK KULKARNI M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2425 STOCKTON BLVD, DEPT OF ORTHOPAEDIC SURGERY
SACRAMENTO, CA 95817
Sacramento County (916) 453-2049
CLARISSA CARBULLIDO
Physical Therapist
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2240
DR. DAVID PLEASURE MD
Psychiatry & Neurology (Neurology)
2425 STOCKTON BLVD, SHRINERS HOSPITAL FOR CHILDREN NORTHERN CALIFORNIA
SACRAMENTO, CA 95817
Sacramento County (916) 453-2331
SYLVIA INES GARMA PH.D.
Psychologist
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2000
FATEMA LAKHANI IQBAL M.D.
Pediatrics
2425 STOCKTON BLVD, SHRINERS HOSPITAL OF NORTHERN CALIFORNIA
SACRAMENTO, CA 95817
Sacramento County (916) 453-2060
MARY ANN O'DELL OTR
Occupational Therapist (Physical Rehabilitation)
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2240

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 Pediatric Orthotic And Prosthetic Services-West, LLC's NPI number?

The NPI number for Pediatric Orthotic And Prosthetic Services-West, LLC is 1811213549. It was assigned to this organization in the NPPES registry on April 20, 2010.

Where is Pediatric Orthotic And Prosthetic Services-West, LLC located?

Pediatric Orthotic And Prosthetic Services-West, LLC is located at 2425 Stockton Blvd Suite 236, Sacramento, CA 95817. The listed phone number is (916) 453-2170.

What is Pediatric Orthotic And Prosthetic Services-West, LLC's specialty?

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

Does Pediatric Orthotic And Prosthetic Services-West, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pediatric Orthotic And Prosthetic S accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pediatric Orthotic And Prosthetic Services-West, LLC accept?

Health plans from UnitedHealthcare list Pediatric Orthotic And Prosthetic Services-West, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Orthotic And Prosthetic Services-West, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.