San Joaquin Orthotics & Prosthetics
NPI 1649290107 · Prosthetic/Orthotic Supplier · Stockton, CA
Enrolled with Medicare as Dme Supplier - Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Joaquin Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier organization in Stockton, CA (NPI 1649290107).
Provider details
- NPI number
- 1649290107
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Matthew Evans, Business Owner/Manager(209) 932-0170
- License
- 07-00072230 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
- 2006-07-20
- Last updated
- 2015-09-15
Frequently asked questions
- What is San Joaquin Orthotics & Prosthetics's NPI number?
- San Joaquin Orthotics & Prosthetics's National Provider Identifier (NPI) is 1649290107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Joaquin Orthotics & Prosthetics?
- San Joaquin Orthotics & Prosthetics is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is San Joaquin Orthotics & Prosthetics located?
- San Joaquin Orthotics & Prosthetics's practice location on file with NPPES is 2211 N California St, Stockton, CA 95204-5503.
- What is San Joaquin Orthotics & Prosthetics's phone number?
- The practice phone number listed in the NPPES registry for San Joaquin Orthotics & Prosthetics is (209) 932-0170.
- Does San Joaquin Orthotics & Prosthetics accept Medicare?
- San Joaquin Orthotics & Prosthetics 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 San Joaquin Orthotics & Prosthetics?
- The authorized official listed on San Joaquin Orthotics & Prosthetics's NPPES record is Matthew Evans, Business Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Joaquin Orthotics & Prosthetics's NPI active?
- Yes — San Joaquin Orthotics & Prosthetics's NPI (1649290107) is active in the NPPES registry as of the last update on 2015-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.