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

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: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Nov 15, 2022, Nov 2, 2021 and 1 more (4 updates tracked since 2019).

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
Fax(707) 528-8840
Organization SubpartYesParent: Ortho Dev America Corp
Authorized OfficialIvan SabelCeo · (541) 734-2435
Enumeration DateSeptember 17, 2015
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 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

Other Names 1

Doing Business AsSpectrum Orthotics & Prosthetics

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
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.

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 May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.