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

Pediatric Orthotic and Prosthetic Services-West, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1043613821

Pediatric Orthotic and Prosthetic Services-West, LLC is a Prosthetic/Orthotic Supplier in Pasadena, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

909 S Fair Oaks Ave
Pasadena, CA 91105-2625
Phone: (626) 389-9411
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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 930000150 (CA)

Record details

NPI number1043613821
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services-West, LLC
Authorized official Joanne Kanas — Director · (813) 281-7184
NPI enumeratedOctober 7, 2014
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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