OrganizationActive
M&g Custom Shoes and Orthotics LLC
NPI 1902076987 · Prosthetic/Orthotic Supplier · Antioch, CA
M&g Custom Shoes and Orthotics LLC is a Prosthetic/Orthotic Supplier organization in Antioch, CA (NPI 1902076987).
Provider details
- NPI number
- 1902076987
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Gregory Banting, Partner/Manager(925) 305-1855
- License
- CPED0350 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1504 a St
Antioch, CA 94509-2333
Phone: (925) 305-1855
Fax: (925) 755-8601
Street-level locationGet directions
Mailing address
1504 a St
Antioch, CA 94509-2333
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2012-05-14
Frequently asked questions
- What is M&g Custom Shoes and Orthotics LLC's NPI number?
- M&g Custom Shoes and Orthotics LLC's National Provider Identifier (NPI) is 1902076987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is M&g Custom Shoes and Orthotics LLC?
- M&g Custom Shoes and Orthotics LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is M&g Custom Shoes and Orthotics LLC located?
- M&g Custom Shoes and Orthotics LLC's practice location on file with NPPES is 1504 a St, Antioch, CA 94509-2333.
- What is M&g Custom Shoes and Orthotics LLC's phone number?
- The practice phone number listed in the NPPES registry for M&g Custom Shoes and Orthotics LLC is (925) 305-1855.
- Who is the authorized official for M&g Custom Shoes and Orthotics LLC?
- The authorized official listed on M&g Custom Shoes and Orthotics LLC's NPPES record is Gregory Banting, Partner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is M&g Custom Shoes and Orthotics LLC's NPI active?
- Yes — M&g Custom Shoes and Orthotics LLC's NPI (1902076987) is active in the NPPES registry as of the last update on 2012-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.