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ACTIVE 1 PROSTHETICS AND ORTHOTICS
NPI 1942697875
Prosthetic/Orthotic Supplier in Fresno, CA

Active since April 17, 2015
295 W CROMWELL AVE, SUITE 102, FRESNO, CA 93711(559) 493-5020(559) 492-3569 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active 1 Prosthetics And Orthotics NPPES

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

ACTIVE 1 PROSTHETICS AND ORTHOTICS (NPI 1942697875) is a healthcare organization registered as a prosthetic/orthotic supplier in Fresno, California and active in the NPI registry since April 2015. The organization lists Stephan Mark Magill, President, as its authorized official.

NPPES Registry Identity

NPI1942697875
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameACTIVE 1 PROSTHETICS AND ORTHOTICS
Location Address295 W CROMWELL AVE, SUITE 102Fresno, CA 93711-6167
Mailing Address295 W Cromwell Ave, Suite 102Fresno, CA 93711-6167 · (559) 493-5020 · Fax (559) 492-3569
Phone(559) 493-5020
Fax(559) 492-3569
Organization SubpartNo
Authorized OfficialStephan Mark MagillPresident · (559) 493-5020
Enumeration DateApril 17, 2015
✔ NPI 1942697875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
295 W CROMWELL AVE, Fresno, CA 93711
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Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Active 1 Prosthetics And Orthotics carries, from the Medicare DMEPOS supplier directory.

Active 1 Prosthetics And Orthotics

DMEPOS supplier · Fresno, CA
⋮

Does not accept Medicare assignment

Active 1 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)20483915
Medicare Participant SinceApril 15, 2015
Supplier Location295 W Cromwell Ave Ste 102Fresno, CA 93711
Phone(559) 493-5020
Supplier Specialties
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
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 2

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

POST OPERATIVE CARE ASSOCIATES
Home Health
295 W CROMWELL AVE, SUITE 103
FRESNO, CA 93711
Fresno County (559) 432-2257
STEPHAN M MAGILL CPO
Prosthetist
295 W CROMWELL AVE, SUITE 102
FRESNO, CA 93711
Fresno County (559) 493-5020

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 Active 1 Prosthetics And Orthotics's NPI number?

The NPI number for Active 1 Prosthetics And Orthotics is 1942697875. It was assigned to this organization in the NPPES registry on April 17, 2015.

Where is Active 1 Prosthetics And Orthotics located?

Active 1 Prosthetics And Orthotics is located at 295 W Cromwell Ave Suite 102, Fresno, CA 93711. The listed phone number is (559) 493-5020.

What is Active 1 Prosthetics And Orthotics's specialty?

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

Does Active 1 Prosthetics And Orthotics accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Active 1 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 Active 1 Prosthetics And Orthotics was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.