M&G CUSTOM SHOES AND ORTHOTICS LLC
NPI 1902076987
Prosthetic/Orthotic Supplier in Antioch, CA

Q: What is M&g Custom Shoes And Orthotics LLC's NPI number?

The NPI number for M&g Custom Shoes And Orthotics LLC is 1902076987. It was assigned to this organization in the NPPES registry on March 6, 2008.

Q: What is M&g Custom Shoes And Orthotics LLC's specialty?

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

Active since March 06, 2008

1504 A ST, ANTIOCH, CA 94509(925) 305-1855(925) 755-8601 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About M&g Custom Shoes And Orthotics Llc NPPES

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

M&G CUSTOM SHOES AND ORTHOTICS LLC (NPI 1902076987) is a healthcare organization registered as a prosthetic/orthotic supplier in Antioch, California and active in the NPI registry since March 2008. The organization lists Gregory R Banting, Partner/manager, as its authorized official.

NPPES Registry Identity

NPI1902076987

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameM&G CUSTOM SHOES AND ORTHOTICS LLC

Location Address1504 A STAntioch, CA 94509-2333

Mailing Address1504 A StAntioch, CA 94509-2333 · (925) 305-1855 · Fax (925) 755-8601

Phone(925) 305-1855

Fax(925) 755-8601

Organization SubpartNo

Authorized OfficialGregory R BantingPartner/manager · (925) 305-1855

Enumeration DateMarch 6, 2008

Last NPPES UpdateMay 14, 2012

✔ NPI 1902076987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in CA · CPED0350

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.

1504 A ST, Antioch, CA 94509

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Other Identifiers 1

Medicare NSC6080170001CA

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 M&g Custom Shoes And Orthotics LLC's NPI number?

The NPI number for M&g Custom Shoes And Orthotics LLC is 1902076987. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is M&g Custom Shoes And Orthotics LLC located?

M&g Custom Shoes And Orthotics LLC is located at 1504 A St, Antioch, CA 94509. The listed phone number is (925) 305-1855.

What is M&g Custom Shoes And Orthotics LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for M&g Custom Shoes And Orthotics LLC was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.