Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M&g Custom Shoes and Orthotics LLC

Organization Prosthetic/Orthotic Supplier · NPI 1902076987

M&g Custom Shoes and Orthotics LLC is a Prosthetic/Orthotic Supplier in Antioch, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1504 A St
Antioch, CA 94509-2333
Phone: (925) 305-1855
Fax: (925) 755-8601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence CPED0350 (CA)

Record details

NPI number1902076987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Banting — Partner/Manager · (925) 305-1855
NPI enumeratedMarch 6, 2008
Last updated in NPPESMay 14, 2012
Mailing address1504 A St, Antioch, CA 94509-2333

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