L.I.C PROSTHETICS AND ORTHOTICS
NPI 1922099159
Prosthetic/Orthotic Supplier in Anaheim, CA

Active since November 04, 2005
321 E CENTER ST, ANAHEIM, CA 92805(714) 563-0056 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About L.i.c Prosthetics And Orthotics NPPES

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

L.I.C PROSTHETICS AND ORTHOTICS (NPI 1922099159) is a healthcare organization registered as a prosthetic/orthotic supplier in Anaheim, California and active in the NPI registry since November 2005. The organization lists Frederick Farrokh Randjbar, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1922099159
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameL.I.C PROSTHETICS AND ORTHOTICS
Location Address321 E CENTER STAnaheim, CA 92805-3263
Mailing Address321 E Center StAnaheim, CA 92805-3263 · (714) 563-0056
Organization SubpartNo
Authorized OfficialFrederick Farrokh RandjbarOwner/director · (714) 563-0056
Enumeration DateNovember 4, 2005
Last NPPES UpdateJune 1, 2011
NPI 1922099159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in MD · C21643
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.
321 E CENTER ST, Anaheim, CA 92805

Other Identifiers 1

Medicare NSC6512940001CA

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories L I C Prosthetics And Orthotics carries, from the Medicare DMEPOS supplier directory.

L I C Prosthetics And Orthotics

DMEPOS supplier · Anaheim, CA

Does not accept Medicare assignment

L I C Prosthetics And Orthotics 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)20531531
Medicare Participant SinceMarch 18, 2011
Supplier Location321 E. Center StreetAnaheim, CA 92805
Provider TypeCertified Orth/Pros/Pedorthist

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

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

Orthotic Fitter
321 E CENTER ST
ANAHEIM, CA 92805

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 L.I.C Prosthetics And Orthotics's NPI number?

The NPI number for L.I.C Prosthetics And Orthotics is 1922099159. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is L.I.C Prosthetics And Orthotics located?

L.I.C Prosthetics And Orthotics is located at 321 E Center St, Anaheim, CA 92805. The listed phone number is (714) 563-0056.

What is L.I.C Prosthetics And Orthotics's specialty?

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

Does L.I.C Prosthetics And Orthotics accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, L I C Prosthetics And Orthotics 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 L.I.C Prosthetics And Orthotics was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.