Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SPECTRUM O & P OF SANTA ROSA
NPI 1851760086
Prosthetic/Orthotic Supplier in Santa Rosa, CA

Q: What is Spectrum O & P Of Santa Rosa's NPI number?

The NPI number for Spectrum O & P Of Santa Rosa is 1851760086. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as Spectrum Orthotics & Prosthetics.

Q: What is Spectrum O & P Of Santa Rosa's specialty?

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

Active since September 17, 2015

95 MONTGOMERY DR STE 102, SANTA ROSA, CA 95404(707) 528-8858(707) 528-8840 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, May 19, 2026, Nov 15, 2022 and 2 more (5 updates tracked since 2019).

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About Spectrum O & P Of Santa Rosa NPPES

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

SPECTRUM O & P OF SANTA ROSA (NPI 1851760086), doing business as Spectrum Orthotics & Prosthetics, is a healthcare organization registered as a prosthetic/orthotic supplier in Santa Rosa, California and active in the NPI registry since September 2015. The organization lists Ivan Sabel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851760086

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameSPECTRUM O & P OF SANTA ROSA

Location Address95 MONTGOMERY DR STE 102Santa Rosa, CA 95404-6617

Mailing Address3540 E Barnett Ste AMedford, OR 97504 · (541) 734-2435 · Fax (541) 734-4366

Phone(707) 528-8858

Fax(707) 528-8840

Organization SubpartYesParent: Ortho Dev America Corp

Authorized OfficialIvan SabelCeo · (541) 734-2435

Enumeration DateSeptember 17, 2015

Last NPPES UpdateSeptember 17, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1851760086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

95 MONTGOMERY DR STE 102, Santa Rosa, CA 95404

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Other Names 1

Doing Business AsSpectrum Orthotics & Prosthetics

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum O & P Of Santa Rosa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20151216002491DME · Certified Orth/Pros/PedorthistDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Spectrum O&p Of Santa Rosa, Inc. carries, from the Medicare DMEPOS supplier directory.

Spectrum O&p Of Santa Rosa, Inc.

DMEPOS supplier · Santa Rosa, CAOperated by Spectrum O & P Of Santa Rosa

⋮

Does not accept Medicare assignment

Spectrum O&p Of Santa Rosa, Inc. 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)20481617

Medicare Participant SinceNovember 5, 2015

Supplier Location95 Montgomery Dr Ste 102Santa Rosa, CA 95404

Phone(707) 528-8858

Provider TypePedorthic Personnel · Medical Supply Company With Pedorthic Personnel

Supplier Specialties

MSC With Orthotic Personnel MSC With Prosthetic Personnel 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

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Limb Prostheses

Prosthetic arms, Prosthetic feet, Prosthetic knees

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

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 Spectrum O & P Of Santa Rosa's NPI number?

The NPI number for Spectrum O & P Of Santa Rosa is 1851760086. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as Spectrum Orthotics & Prosthetics.

Where is Spectrum O & P Of Santa Rosa located?

Spectrum O & P Of Santa Rosa is located at 95 Montgomery Dr Ste 102, Santa Rosa, CA 95404. The listed phone number is (707) 528-8858.

What is Spectrum O & P Of Santa Rosa's specialty?

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

Is Spectrum O & P Of Santa Rosa enrolled in Medicare?

Yes. Spectrum O & P Of Santa Rosa is registered in the Medicare PECOS enrollment system.

When is Spectrum O & P Of Santa Rosa's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Certified Orth/Pros/Pedorthist) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Spectrum O & P Of Santa Rosa accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Spectrum O&p Of Santa Rosa, Inc. 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 Spectrum O & P Of Santa Rosa was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.