Ginos Wide Shoes & Shoe Repair
NPI 1073464350 · Durable Medical Equipment & Medical Supplies · La Mesa, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ginos Wide Shoes & Shoe Repair is a Durable Medical Equipment & Medical Supplies organization in La Mesa, CA (NPI 1073464350).
Provider details
- NPI number
- 1073464350
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Pablo Serrano, Owner(619) 433-4466
Specialties & taxonomies
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Ginos Wide Shoes & Shoe Repair's NPI number?
- Ginos Wide Shoes & Shoe Repair's National Provider Identifier (NPI) is 1073464350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ginos Wide Shoes & Shoe Repair?
- Ginos Wide Shoes & Shoe Repair is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Ginos Wide Shoes & Shoe Repair located?
- Ginos Wide Shoes & Shoe Repair's practice location on file with NPPES is 5500 Grossmont Center Dr Ste 141, La Mesa, CA 91942-3070.
- What is Ginos Wide Shoes & Shoe Repair's phone number?
- The practice phone number listed in the NPPES registry for Ginos Wide Shoes & Shoe Repair is (619) 433-4466.
- Does Ginos Wide Shoes & Shoe Repair accept Medicare?
- Ginos Wide Shoes & Shoe Repair is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ginos Wide Shoes & Shoe Repair?
- The authorized official listed on Ginos Wide Shoes & Shoe Repair's NPPES record is Pablo Serrano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ginos Wide Shoes & Shoe Repair's NPI active?
- Yes — Ginos Wide Shoes & Shoe Repair's NPI (1073464350) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.