ABI P&O – NPI #1154621720
Clinic/Center

An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.

ABI P&O is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1154621720 to ABI P&O on October 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABI P&O” is a dba name, the actual legal business name for this organization is JUAN ANTONIO MENDOZA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0900X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Amputee

The NPI profile was previously updated about 15 years ago on Mar 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABI P&O below.

NPI Profile for
JUAN ANTONIO MENDOZA

NPI Number
1154621720
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JUAN ANTONIO MENDOZA
Doing Business As (dba): ABI P&O
Primary location
6190 FAIRMOUNT AVE
SUITE A
SAN DIEGO, CA 92120-3428
Phone: (619) 285-5040 Fax: (619) 285-5045
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN PRATER
OFFICE MANAGER
Phone: (619) 285-5040
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0900X
- Clinic/Center / Amputee (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.