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 1811213549

Pediatric Orthotic and Prosthetic Services-West, LLC is a Prosthetic/Orthotic Supplier in Sacramento, California. Registered with an NPI since 2010.

In the registry since
2010
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

2425 Stockton Blvd Ste 236
Sacramento, CA 95817-2215
Phone: (916) 453-2170
Fax: (916) 453-5024
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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

Record details

NPI number1811213549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Wadekamper — Manager · (916) 453-2170
NPI enumeratedApril 20, 2010
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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