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BEVERLY ORTHOPEDIC LABORATORY INC
NPI 1871186981
Prosthetic/Orthotic Supplier in Lynwood, CA

Active since February 19, 2021
3737 MARTIN LUTHER KING JR BLVD, #335, LYNWOOD, CA 90262(310) 438-3645(310) 438-3699 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Orthopedic Laboratory Inc NPPES

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

BEVERLY ORTHOPEDIC LABORATORY INC (NPI 1871186981) is a healthcare organization registered as a prosthetic/orthotic supplier in Lynwood, California and active in the NPI registry since February 2021. The organization lists Sanjay Suresh Kawankar, Ceo, Cfo, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1871186981
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBEVERLY ORTHOPEDIC LABORATORY INC
Location Address3737 MARTIN LUTHER KING JR BLVD, #335Lynwood, CA 90262
Mailing Address2625 W. Beverly BlvdMontebello, CA 90640 · (323) 727-2887 · Fax (323) 727-2854
Phone(310) 438-3645
Fax(310) 438-3699
Organization SubpartYes
Authorized OfficialSanjay Suresh KawankarCeo, Cfo, Practice Manager · (323) 727-2887
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1871186981 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 ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
3737 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262
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Other Identifiers 1

MedicaidXC0008150CA

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Beverly Orthopedic Laboratory Inc carries, from the Medicare DMEPOS supplier directory.

Beverly Orthopedic Laboratory Inc

DMEPOS supplier · Lynwood, CA
⋮

Does not accept Medicare assignment

Beverly Orthopedic Laboratory 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)21610635
Medicare Participant SinceJanuary 1, 1998
Supplier Location3737 Martin Luther King Jr Blvd Ste 335Lynwood, CA 90262
Phone(310) 438-3645
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
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.

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.

MR. JOHN KENNEDY JR. M.A.
Counselor
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Los Angeles County (310) 609-3890
DR. RIGOVERTO CABRERA BRICENO PH.D.
Psychologist (Clinical)
3737 MARTIN LUTHER KING JR BLVD, #385
LYNWOOD, CA 90262
Los Angeles County (310) 635-5481
ERIC MEDRANO
Case Manager/Care Coordinator
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Los Angeles County (323) 249-2950
ARTHUR J EDELSTEIN MD M.D.
Optometrist (Vision Therapy)
3737 MARTIN LUTHER KING JR BLVD, #340
LYNWOOD, CA 90262
Los Angeles County (310) 638-0402
JANEE' BROWN NP
Nurse Practitioner
3737 MARTIN LUTHER KING JR BLVD, SUITE 605B
LYNWOOD, CA 90262
Los Angeles County (310) 639-9363
MARISOL ELENA ZARAGOZA
Rehabilitation Practitioner
3737 MARTIN LUTHER KING JR BLVD, SUITE 500
LYNWOOD, CA 90262
Los Angeles County (323) 463-2119
GRICELDA COVARRUBIAS
Day Training/Habilitation Specialist
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Los Angeles County (323) 249-2950
DR. GRACIE-ANN DINKINS M.D.
Surgery (Trauma Surgery)
3737 MARTIN LUTHER KING JR BLVD, SUITE 404
LYNWOOD, CA 90262
Los Angeles County (424) 213-4290

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 Beverly Orthopedic Laboratory Inc's NPI number?

The NPI number for Beverly Orthopedic Laboratory Inc is 1871186981. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is Beverly Orthopedic Laboratory Inc located?

Beverly Orthopedic Laboratory Inc is located at 3737 Martin Luther King Jr Blvd #335, Lynwood, CA 90262. The listed phone number is (310) 438-3645.

What is Beverly Orthopedic Laboratory Inc's specialty?

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

Does Beverly Orthopedic Laboratory Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Beverly Orthopedic Laboratory 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 Beverly Orthopedic Laboratory Inc was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.