BEVERLY ORTHOPEDIC LABORATORY INC – NPI #1558370023
Prosthetic/Orthotic Supplier

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.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

BEVERLY ORTHOPEDIC LABORATORY INC is a DME Supplier located in MONTEBELLO, CA. NPPES has assigned the NPI number 1558370023 to BEVERLY ORTHOPEDIC LABORATORY INC on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 6 years ago on May 22, 2020. 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 BEVERLY ORTHOPEDIC LABORATORY INC below.

NPI Profile for
BEVERLY ORTHOPEDIC LABORATORY INC

NPI Number
1558370023
Enumeration Date

(about 20 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
BEVERLY ORTHOPEDIC LABORATORY INC
Primary location
2625 W BEVERLY BLVD
MONTEBELLO, CA 90640
Phone: (323) 727-2887 Fax: (323) 727-2854
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANJAY KAWANKAR
CEO/CFO
Phone: (323) 727-2887
Updated
Certification Date
May 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BEVERLY ORTHOPEDIC LABORATORY INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD OF CALIFORNIACAZZZ02896Z
MEDICAIDCAXCOOO8150
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
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
261QP2000X
- Clinic/Center / Physical Therapy

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.