Organization
TIMOTHY D. BULGARELLI
Active
Other names
Pacific Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA RICHARDSON (OFFICE MANAGER)
(626) 793-7103
Entity
Organization
Contact information
Practice address
454 N CRAIG AVE, PASADENA, CA 91107-2460
(626) 793-7103
(626) 793-8332
Mailing address
454 N CRAIG AVE, PASADENA, CA 91107-2460
(626) 793-7103
(626) 793-8332
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO00731
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ42904Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/02/2007
Last updated
10/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up