CCS Approved Prosthetic & Orthotic Facilities … Approved Prosthetic & Orthotic Facilities Listing...
151
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413 January 31, 2014 CCS Approved Prosthetic & Orthotic Facilities Listing Last Update: 1/31/14
Transcript of CCS Approved Prosthetic & Orthotic Facilities … Approved Prosthetic & Orthotic Facilities Listing...
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CCS Approved
Prosthetic & Orthotic Facilities Listing
Last Update: 1/31/14
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ABILITY BIOMECHANICS INT.
General Information Office Contact ABI 6190 Fairmount Ave, Ste A San Diego, CA 92120 619-285-5040 CCS Facility Approved Date 9/5/03 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Juan A. Mendoza Prosthetics & Orthotics 8/6/03
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACCOLADES PROSTHETICS General Information Office Contact Accolades Prosthetics* Lori Christani* 3855 Princeton Dr. Phone: (707)579-9570 Santa Rosa, CA 95401 Phone: (707)579-9570 Satellites Mendocino Prosthetic Center** Unavailable** Phone: Unavailable CCS Facility Approved Date 6/1/1994 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Michael Tange*/** Orthotics & Prosthetics 3/1/1994 ________________________ * Accolades Prosthetics, 3855 Princeton Dr., Santa Rosa, CA 95401 ** Accolades Prosthetics, 168 Washington Ave. #B, Ukiah, CA 95482
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACE ORTHOPEDICS, INC General Information Office Contact Ace Orthopedics, Inc Unavailable 44751 Firestone Blvd Phone: (323)569-5544 South Gate, CA 90280 Phone: (323)569-5544 CCS Facility Approved Date 3/9/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Julio Adame Orthotics & Prosthetics 12/19/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACHILLES P & O, San Luis Obispo
General Information Office Contact Achilles P & O Donald Newton 842 California Blvd San Luis Obispo, Ca 93401 805-541-3800 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Donald F. Newton Orthotics & Prosthetics 2/5/2003 Taed Studer Orthotics & Prosthetics 5/1/1993
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACHILLES P & O, Santa Maria
General Information Office Contact Achilles P & O Unavailable 622 E. Main St. Phone: (805)925-6144 Santa Maria, CA 93454 Phone: (805)925-6144 CCS Facility Approved Date 2/5/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date David A. Wegner Orthotics & Prosthetics 2/5/2003 Donald F. Newton Orthotics & Prosthetics 2/5/2003 Daniel J. Newton Orthotics & Prosthetics 2/5/2003
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACTION ORTHOPEDIC CO.
General Information Office Contact Action Orthopedic Co. Unavailable 637 S. Lucas Ave. Phone: (213)482-5226 Los Angeles, CA 90017 Phone: (213)482-5226 CCS Facility Approved Date 11/21/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Suzanne Eckhardt Prosthetics 11/21/2006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACTIVE LIFE Inc, Canoga Park
General Information Office Contact Active Life O & P Spencer Doty 22030 Sherman Way, Ste 314 Canoga Park, CA 91303 Phone: 818-835-9441 CCS Facility Approved Date 2/10/12 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Donald Doty Orthotics & Prosthetics 12/14/2004 Spencer Doty Orthotics & Prosthetics 12/8/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ACTIVE LIFE O & P, Glendale General Information Office Contact Active Life O & P Spencer Doty 1808 Verdugo Blvd, Ste 416 Glendale, CA 91208 Phone: 818-495-4610 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Donald Doty Orthotics & Prosthetics 12/14/2004 Spencer Doty Orthotics & Prosthetics 12/8/2008 Eve Doty Orthotics & Prosthetics 12/8/2008 _______________________
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ALIGN CLINIC, LLC
General Info Office Contact Align Clinic, LLC Grant Wood 700 South Claremont Street, Ste 105 (650) 375-2231 San Mateo, CA 94402 (650) 375-2231 CCS Facility Approved Date 11/5/2013 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Grant Wood Orthotics 5/22/2012 Paul Burnette Orthotics & Prosthetics 7/17/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ALPHA ORTHO APPLIANCE CO.
Alpha Ortho Appliance Co Office Contact Alpha Ortho Appliance Co Sylvia Miramontes 5940 E. Washington Phone: (323)721-6706 Commerce, CA 90040 Phone: (323)721-6706 CCS Facility Approved Date 7/1/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Keith Vinnecour Orthotics & Prosthetics 2/11/2004 David Cooney Orthotics & Prosthetics 2/11/2004 Mark S. Yamaka Prosthetics 4/9/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
AMERICAN ORTHOTICS & PROSTHETICS
General Information Office Contact American Orthotics & Prosthetics Michelle Kincaid 6692 Brockton Ave. Phone: (951)367-6702 Riverside, CA 92506 Phone: (951)367-6702 CCS Facility Approved Date 2/27/07 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: David Sulis Orthotics & Prosthetics 8/1/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
AM-PRO PROSTHETICS
General Information Office Contact Am-Pro Prosthetics Unavailable 1550 S. Anaheim Blvd Phone: (714)635-1401 Anaheim, CA 92805 Phone: (714)635-1401 CCS Facility Approved Date 11/12/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Rudy Nunez Prosthetics 11/12/2003 Peter Lira Orthotics & Prosthetics 5/23/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ANACAPA PROSTHETICS & ORTHOTICS
General Information Office Contact Anacapa Prosthetics & Orthotics Bob Chacon 2300 Knoll Dr. Ste D Phone: (805)6581388 Ventura, CA 93003 Phone: (805)6581388 CCS Facility Approved Date 8/22/1983 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Bob Chacon Orthotics 6/7/2004 Carlos Garces Orthotics & Prosthetics 11/15/2007
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ANCHOR ORTHOTICS & PROSTHETICS, AUBURN
General Information Office Contact Anchor O&P Crystal 11990 Heritage Oak Place Auburn, CA 95604 530-887-1734 CCS Facility Approved Date 4/2/2009 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Mark Bailey Orthotics 6/6/05
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ANCHOR ORTHOTICS & PROSTHETICS, Sacramento
General Information Office Contact Anchor O&P Crystal 3530 Auburn Blvd, Ste 6 Sacramento, Ca 95821 916-484-0685 CCS Facility Approved Date 9/16/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Mark Bailey Orthotics 6/6/05 Renee Von Feldt Orthotics 9/17/2010
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ANTELOPE VALLEY ORTHOTIC AND PROSTHETICS
General Information Office Contact Antelope Valley Orthotic and Prosthetics Unavailable 1606 E. Palmdale Ste. D Phone: (661)267-0772 Palmdale, CA 93550 Phone: (661)267-0772 CCS Facility Approved Date 9/4/98 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: T. Dennis Janowitz Orthotics & Prosthetics 9/4/1998
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
BAKERSFIELD P & O
General Information Office Contact Bakersfield P & O Unavailable 1920 G Street Phone: (661)281-2127 Bakersfield, CA 93301 Phone: (661)281-2127 CCS Facility Approved Date 2/5/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Ashok Dhokia Orthotics & Prosthetics 2/5/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
BENTON MEDICAL
General Information Office Contact Benton Medical Jerry Benton 2601 Garcia Ave. Mountain View, Ca 94043 650-625-1000 CCS Facility Approved Date 9/16/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Barry McMills Prosthetics & Orthotics 7/8/2009
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
BEVERLY HILLS P & O, INC
General Information Office Contact Beverly Hills P & O, Inc. Unavailable 6300 Wilshire Blvd., Ste 150 Phone: (323)866-2555 Los Angeles, CA 90048 Phone: (323)866-2555 CCS Facility Approved Date 2/11/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date David F. Cooney Orthotics & Prosthetics 2/11/2003 Keith E. Vinnecour Orthotics & Prosthetics 2/11/2003
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
BEVERLY ORTHOPEDIC LABORATORY, INC.
General Information Office Contact Beverly Orthopedic Laboratory, Inc. Unavailable 237 E. Beverly Blvd Phone: (323)727-2887 Montebello, CA 90640 CCS Facility Approved Date 2/11/2004 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Keith Vinnecour Orthotics & Prosthetics 2/11/2004 David Cooney Orthotics & Prosthetics 2/11/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
BLUEBIRD ORTHOTICS & PROSTHETICS
General Information Office Contact Bluebird Orthotics & Prosthetics Karen Maya 4373 Viewridge Ave. Suite A Phone : (858)874-6750 San Diego, CA 92123 Fax: (858)874-6736 Phone: (858)864-6750 CCS Facility Approved Date
3/10/08 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jeffrey Sutherland Orthotics 7/18/02 Felix Marquez Prosthetics 2/6/08
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
BREAKEY PROSTHETICS INC General Information Office Contact Breakey Prosthetics Inc. Unavailable 820 Malone Road, Phone: (408)723-0883 San Jose CA. 95125 Phone: (408)723-0883 CCS Facility Approved Date 4/18/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date James W. Breakey Prosthetics 4/19/2006 Mike D. Gidding Prosthetics 4/19/2006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CAPSTONE P & O, Chico
General Information Office Contact Capstone P & O Ed Sisson 165 Rio Linda Ave, #100 Chico, Ca 95926 530-894-6400 CCS Facility Approved Date 1/6/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Edward Sisson Prosthetics & Orthotics 1/6/2011
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CAPSTONE P & O, Tracy
General Information Office Contact Capstone P & O Jim Rosales 1355 Bessie Ave Phone: (209)834-8600 Tracy, CA 95326 Phone: (209)834-8600 CCS Facility Approved Date 9/6/2007 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jim S. Rosales Orthotics 11/1/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CHANNEL ISLANDS PROSTHETIC-ORTHOTICS
General Information Office County Channel Islands Prosthetic-Orthotics* Unavailable* 4517 Market St. Ste 4 Phone: (805)658-1822 Ventura, CA 93003 Phone: (805)658-1822 Satellites Channel Islands Prosthetic-Orthotics** Unavailable** Oxnard Phone: (805)488-5531 Phone: (805)488-5531 CCS Facility Approved Date 2/1/85 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Mark J. Warmuth*/** Orthotics 2/1/1985 ________________________ * Channel Islands Prosthetic-Orthotics, 4517 Market St. Ste 4, Ventura, CA 93003 ** Channel Islands Prosthetic-Orthotics (s), 520 W. 5th St. Ste A, Oxnard, CA 93030
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CIRS, MODESTO General Information Office Contact Center for Independent Rehab Services Unavailable 1130 Coffee Rd, Ste 6 Phone: (209)549-1000 Modesto, CA 95355 Phone: (209)549-1000 CCS Facility Approved Date 1/1/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Matthew S. Evans Orthotics & Prosthetics 1/1/2006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CIRS, Palo Alto
General Information Office Contact Center for Independent Rehab Services Unavailable 590 Forest Ave. Phone: (650) 462-0102 Palo Alto, CA 94310 Phone: (650) 462-0102 CCS Facility Approved Date 3/22/07 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Amy Foster Prosthetics & Orthotics 3/22/07
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
CIRS, Oakland
Genreal Information Office Contact Center for Independent Rehab Services Unavailable 430 40th St., Oakland, CA 94609 Phone: (510) 653-9834 Phone: (510) 653-9834 CCS Facility Approved Date 3/8/05 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Tamara Fisher Orthotics 3/8/05
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
COACHELLA VALLEY ORTHOPEDIC
General Information Office Contact Coachella Valley Orthopedic Unavailable 73345 Highway 111 Ste. 102 Phone: (760)345-4779 Palm Desert, CA 92260 Phone: (760)345-4779 CCS Facility Approved Date 6/8/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Russell Molina Prosthetics 5/1/1995
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
COASTAL ORTHOTICS & PROSTHETICS General Information Office Contact Coastal O & P Sally Lamb 307 Placentia Ave, Ste 109 Phone: (919)722-7101 Newport Beach, CA 92663 Phone: (919)722-7101 CCS Facility Approved Date 4/27/07 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Loren Rojek Orthotics & Prosthetics 11/16/1994
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
COLLIER REHAB SYSTEMS
General Information Office Contact Collier Rehab Systems Inc. Joanna Johnston 3161 Putnam Blvd Phone: (925) 943-1119 Pleasant Hill, CA 94523 Phone: (925) 943-1119 CCS Facility Approved Date 1/5/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Harry Brandt Orthotics 9/24/2013 George Villarruel Prosthetics 9/24/2013
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
DESERT PROSTHETICS & ORTHOTICS GROUP
Generial Information Office Contact Desert Prosthetics & Orthotics Group Unavailable 68860 Perez Rd. Ste G Phone: (760)770-4620 Cathedral City, CA 92234 Phone: (760)770-4620 CCS Facility Approved Date 3/24/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Neal Collins Orthotics & Prosthetics 12/1/1994 Robert Hanly Orthotics 12/10/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
DIABLO PROSTHETICS & ORTHOTICS INC., PLEASANTON
General Information Office Contact Diablo Prosthetics & Orthotics Inc Kyle Sullivan 4479 Stoneridge Dr. Ste A Phone: (925)484-6400 Pleasanton, CA 94588 Phone: (925)484-6400 CCS Facility Approved Date 6/14/2007 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Kyle Sullivan Orthotics 6/14/2007 Richard Sire Prosthetics & Orthotics 6/14/2007 Kathleen Pelz Orthotics 02/10/2012 Richard Nguyen Prosthetics & Orthotics 1/20/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
DIABLO PROSTHETICS & ORTHOTICS INC., WALNUT CREEK
General Information Office Contact Diablo Prosthetics & Orthotics Inc Kyle Sullivan 120 La Casa Via, Ste 202 Phone: (925) 930-7700 Walnut Creek, CA 94598 Phone: (925) 930-7700 CCS Facility Approved Date 2/21/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Kyle Sullivan Orthotics 6/14/2007 Richard Sire Prosthetics & Orthotics 6/14/2007 Patrick R. Crowley Orthotics 3/9/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
DREW HITTENBERGER & ASSOC
General Information Office Contact Drew Hittenberger & Assoc. Unavailable 181 Lynch Creek Phone: (707)765-1122 Petaluma, CA 94954 Phone: (707)765-1122 CCS Facility Approved Date 3/18/2002 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Drew Hittenberger Prosthetics 12/1/1993
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Dynamic O&P, Inc
General Information Office Contact Dynamic O&P 1830 W. Olympic Blvd, Ste 123 LA, CA 90006 213-383-9212 CCS Facility Approved Date 8/21/2000 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Peter Sean Prosthetics & Orthotics 8/21/2000 Kyu Oh Orthotics 1/13/2009
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ELITE BIOMECHANICAL DESIGN
General Information Office Contact Elite Biomechanical Design Matt Daniels 1140 Mangrove Ave, Ste A Chico, Ca 95926 530-894-6913 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Michael Casey Orthotics 9/17/2010 Matthew Daniels Prosthetics 9/17/2010
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
FOUNTAIN VALLEY ORTHOTICS & PROSTHETICS, Fountain Valley General Information Office Contact Fountain Valley Orthotics & Prosthetics 16520 Harbor Blvd, Ste G Fountain Valley, CA 92708 Phone: (714) 210-1298 CCS Facility Approved Date 9/13/2007 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Lisa Luna Orthotics & Prosthetics 9/23/2004 Max D. Walker Orthotics 11/23/2004 Thomas Dolan Orthotics 5/11/1990
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
FOUNTAIN VALLEY ORTHOTICS & PROSTHETICS, Mission Viejo
General Information Office Contact Fountain Valley O&P Loren Rojek 25982 Pala Dr., Ste 100 Mission Viejo, Ca 92691 949-770-7331 CCS Facility Approved Date 11/10/10 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Loren Rojek Orthotics & Prosthetics 11/16/1994
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
FOUNTAIN VALLEY ORTHOTICS & PROSTHETICS, Orange General Information Office Contact Fountain Valley O&P Yvonne Sales 623 N. Main St. Orange, CA 92868 714-937-1998 CCS Facility Approved Date 8/4/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Lisa Luna Orthotics & Prosthetics 9/23/2004 Thomas Dolan Orthotics 5/11/1990
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
GARY M. BERKE MS CP
General Information Office Contact Gary M. Berke MS CP Unavailable 801 Brewster Ave, Ste 270 Phone: (650)365-5862 Redwood City, CA 94070 Phone: (650)365-5862 CCS Facility Approved Date 4/7/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Gary M. Berke Prosthetics 4/7/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, AMERICAN CANYON
General Information Office Contact Hanger Prosthetics & Orthotics Mark Turner 3433 Broadway Hwy 29, Ste B3 Phone: (707)643-2177 American Canyon, CA 94503 Phone: (707)643-2177 CCS Facility Approved Date 10/30/2007 Paneled orthotics & Prosthetics Providers Name: Type: Panel Date: Mark Turner Orthotics 10/30/2007
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, AUBURN General Information Office Contact Hanger Prosthetics & Orthotics Michael Carlson 1755 Grass Valley Hwy Auburn, CA 95603 530-823-3143 CCS Facility Approved Date 4/28/2009 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Michael Carlson Orthotics & Prosthetics 4/28/2009
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, CARMICHAEL
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 6600 Coyle Ave. Ste 2 Phone: (916)863-9494 Carmichael, CA 95608 Phone: (916)863-9494 CCS Facility Approved Date 3/10/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Daniel M Munoz Orthotics 3/10/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, Chico
General Information Office Contact Hanger Prosthetics & Orthotics Robert Cook 270 Cohasset Rd., Ste 100 Chico, CA 95926 530-345-6864 CCS Facility Approved Date 11/10/10 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Robert Cook Orthotics & Prosthetics 11/10/10
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, EUREKA
General Information Office Contact Hanger Prosthetics & Orthotics Michal Lozano 2773 Harris St., Ste C Phone: (707)444-0116 Eureka, CA 95501 Phone: (707)444-0116 CCS Facility Approved Date 3/4/2008 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Michael Lozano Prosthetics 3/4/2008 Michael Billington Orthotics 12/1/1983
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, FREMONT
General Information Office Contact Hanger Prosthetics & Orthotics Paul Burnette 3155 Kearney St., Ste 130 Phone: (510)490-6400 Fremont, CA 94538 Phone: (510)490-6400 CCS Facility Approved Date 8/14/2008 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Paul Burnette Orthotics & Prosthetics 8/14/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, FRESNO
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 7575 North Del Mar #101 Fresno, CA 93711 559-431-7045 CCS Facility Approved Date 9/20/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Stephan Magill Orthotics & Prosthetics 7/1/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, Grass Valley
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 375 Brunswick Rd, Ste 103 Grass Valley, Ca 95945 530-271-1770 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Dean Barrett Orthotics & Prosthetics 3/10/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, LOS ANGELES
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 2500 South Flower St. Phone: (213)749-7184 Los Angeles, CA 90007 Phone: (213)749-7184 CCS Facility Approved Date 12/14/04 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Candice Kasuyama Orthotics 12/14/2004 Rafiel Bibbins Orthotics 12/14/2004 Mitra Avijit Prosthetics/Orthotics 8/29/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, MERCED
General Information Office Contact Hanger Prosthetics & Orthotics Chasity Melgoza 436 E. Yosemite Ave, Suite C Merced, CA 95340 Phone: (209) 725-1295 CCS Facility Approved Date 8/2/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Spencer Greene Orthotics & Prosthetics 8/2/2012 Sean Hembree Prosthetics 9/29/2006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, MODESTO
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 937 Coffee Rd, Suite 1 Phone: (209)529-7221 Modesto, CA 95355 Phone: (209) 529-7221 CCS Facility Approved Date 3/14/02 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Philip E Carroll Orthotics 3/14/02
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, MONTEREY
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 969 Pacific St. Phone: (408)649-5347 Monterey, CA 93940 Phone: (408)649-5347 CCS Facility Approved Date 3/17/97 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Rodney Miller Orthotics & Prosthetics 1/29/1997
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, Mountain View
General Information Office Contact Hanger Prosthetics & Orthotics Miguel Bustamante 298 San Antonio Rd, Ste 150 Mountain View, Ca 94040 650-559-1711 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Steve E. Baum Orthotics 4/1/1996
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, NOVATO
General Information Office Contact Hanger Prosthetics & Orthotics Lisa Strong 88 Rowland Way, Ste 175 Novato, CA 94945 Phone: 415-892-1502 CCS Facility Approved Date 7/28/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: William Shea Orthotics & Prosthetics 10/29/08 Sarah Wenzel Orthotics & Prosthetics 1/11/13
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, OAKLAND
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 433 Hegenberger Rd, Ste 100 Phone: (510)288-5401 Oakland, CA 94621 Phone: (510)288-5401 CCS Facility Approved Date 4/25/01 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jesse A DeTorres Orthotics 4/25/01
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Hanger Prosthetics & Orthotics, Oroville
General Information Office Contact Hanger Prosthetics and Orthotics West, Inc 2275 Myers St., Ste C Oroville, CA 95966 530-533-7344 CCS Facility Approved Date 11/10/10 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Roy Stafford Orthotics 2/26/2013
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Hanger Prosthetics & Orthotics, Palo Alto
General Information Office Contact Hanger P & O Unavailable 499 Hamilton Ave #100 Palo Alto, CA 94301 Phone: 650-326-7504
CCS Facility Approved Date 2/5/01 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Steve E. Baum Orthotics 2/5/01
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Hanger Prosthetics & Orthotics, Red Bluff
General Information Office Contact
Hanger Prosthetics & Orthotics, West Richard O’Sullivan 645 Antelope Blvd, Ste 14 Red Bluff, CA 96080 530-528-1795 CCS Facility Approved Date 7/7/2009 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Timothy Elliott Orthotics 12/8/2008 Richard O’Sullivan Prosthetics 12/8/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, ROSEVILLE
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 115 Ascot Dr., Ste 100 Phone: (916)784-6900 Roseville, CA 95661 Phone: (916)784-6900 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Michael Carlson Orthotics & Prosthetics 4/28/2009 Sergio Miramontes Orthotics 3/10/2005
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SACRAMENTO
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 1248 32nd St. Phone: (916)452-5724 Sacramento, CA 95816 Phone: (916)452-5724 CCS Facility Approved Date 3/10/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Sergio Miramontes Orthotics 3/10/2005 Micheal J. Wadekamper Orthotics 4/23/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SALINAS
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 535 E. Romie Ln. Ste 3 Phone: (831)422-9646 Salinas, CA 93901 Phone: (831)422-9646 CCS Facility Approved Date 2/5/01 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Allen M. Robinson Orthotics & Prosthetics 4/14/2008 Karina Shelton Prosthetics/Orthotics 2/10/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SAN BERNARDINO
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 636 E. Brier Dr. #100 Phone: (909)890-9443 San Bernardino, CA 92408 Phone: (909)890-9443 CCS Facility Approved Date 7/16/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Tim Jacobson Orthotics & Prosthetics 1/2/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SAN DIEGO
General Information Office Contact Hanger P & O Adrian Ravitz 7930 Frost St. #304 San Diego, CA 92123 858-560-4944 CCS Facility Approved Date 9/17/08 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jessica Driscoll Orthotics 9/17/08
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SAN FRANCISCO
General Information Office Contact Hanger Prosthetics & Orthotics Doris 382 18th Ave. Phone: (415)387-8500 San Francisco, CA 94121 Phone: (415)387-8500 CCS Facility Approved Date 11/21/06 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Chong Strout Orthotics 11/13/2006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SAN LUIS OBISPO
General Information Office Contact Hanger Prosthetics & Orthotics John David Taylor 2400 Broad St. Phone: (805)546-8666 San Luis Obispo, CA 93401 Phone: (805)546-8666 CCS Facility Approved Date 4/14/2008 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Allen M. Robinson Orthotics & Prosthetics 4/14/2008 John D. Taylor Orthotics & Prosthetics 4/14/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SAN MATEO
General Information Office Contact Hanger Prosthetics & Orthotics Grant Wood 100 Ellsworth Ave, Ste 203 San Mateo, Ca 94401 Phone: 650-343-4504 CCS Facility Approved Date 5/22/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Grant I Wood Orthotics 5/22/2012 Paul Burnette Orthotics & Prosthetics 8/14/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SANTA CRUZ
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 700 Frederick St. #101 Phone: (831)460-9245 Santa Cruz, CA 95062 Phone: (831)460-9245 CCS Facility Approved Date 2/5/01 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date William Braun Prosthetics 2/5/01 Karina Vogen Prosthetics/Orthotics 2/10/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, Santa Rosa
General Information Office Contact Hanger Prosthetics & Orthotics William Shea 3663 North Laughlin Rd, Ste 103 Santa Rosa, CA 95403 707-528-7999 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: William Shea Prosthetics & Orthotics 10/29/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, SONORA
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 13771-A Mono Way Phone: (209)532-4497 Sonora, CA 95370 Phone: (209)532-4497 CCS Facility Approved Date 3/6/01 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Gregory Brunt Orthotics 2/2/2006 Charles Stockert Orthotics & Prosthetics 12/1/83
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, STOCKTON
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 1236 N. El Dorado #3 Phone: (209)466-2546 Stockton, CA 95202 Phone: (209)466-2546 CCS Facility Approved Date 3/9/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Tiffany L. Fong Orthotics & Prosthetics 3/9/2005 Charles Stockert Orthotics & Prosthetics 12/1/83 Matthew Legasse Orthotics 7/28/2011
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, TRACY
General Information Office Contact Hanger Prosthetics & Orthotics Unknown 1973 No. Tracy Blvd. Phone: (209)832-7407 Tracy, CA 95376 Phone: (209)832-7407 CCS Facility Approved Date 10/20/1997 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Patrick Crowley Orthotics 3/9/05
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, VISALIA
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 750 S. Mooney Blvd Phone: (559)732-3957 Visalia, CA 93277 Phone: (559)732-3957 CCS Facility Approved Date 9/17/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: John R. Wettstein Prosthetics 6/30/2000 Stephan Magill Orthotics & Prosthetics 7/1/2001 Robert Bird Orthotics 2/10/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, WALNUT CREEK
General Information Office Contact Hanger P & O Unknown 106 La Casa Via #120 Walnut Creek, Ca 94596 Phone: 925-2745990
CCS Facility Approved Date 4/25/01 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jesse A DeTorres Orthotics 4/25/01
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, Woodland
General Information Office Contact Hanger Prosthetics & Orthotics West Daniel Santos 155 Main St. Woodland, CA 95695 530-662-1117 CCS Facility Approved Date 1/7/10 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Michael Wadekamper Orthotics 4/15/08
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HANGER PROSTHETICS & ORTHOTICS, YUBA CITY
General Information Office Contact Hanger Prosthetics & Orthotics Unavailable 1215 Plumas St., Ste 1000 Phone: (530)671-2324 Yuba, CA 95991 Phone: (530)671-2324 CCS Facility Approved Date 7/18/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Donald F. Colwell Orthotics & Prosthetics 7/18/2005 Mark J. Bailey Orthotics 6/6/2005 Roy Stafford Orthotics 2/26/2013
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HEMET P & O GROUP
General Information Office Contact Hemet P & O Group Unavailable 41785 Enterprise Circle S., Phone: (909)296-9677 Temecula, CA 92590 Phone: (909)296-9677 CCS Facility Approved Date 10./17/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date John W. Burns Prosthetics 10/17/2003 Wayne A. Kaufman Orthotics 10/17/2003
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HENSON ORTHOTIC & PROSTHETIC, ENT
General Information Office Contact Henson Orthotic & Prosthetic, Ent Rod Henson 2540 Pacific Ave. Ste2B Phone: (209)944-9990 Stockton, CA 95204 Phone: (209)944-9990 CCS Facility Approved Date 10/12/2007 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Rod Henson Orthotics & Prosthetics 10/12/2007
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HOWARD ORTHOPEDICS, INC
General Information Office Contact Howard Orthopedics, Inc. Alexandra Padilla 2970 Hilltop Mall Rd., Ste 104 Phone: (510)222-1282 Richmond, CA 94806 Phone: (510)222-1282 CCS Facility Approved Date 7/22/2008 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Howard Davis Orthotics & Prosthetics 7/22/2008 Brian Demain Orthotics & Prosthetics 7/22/2008 Chong, Shrout Orthotics 7/22/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
HUMAN DESIGNS PROSTHETIC & ORTHOTIC LAB
General Information Office Contact Human Designs Prosthetic and Orthotic Lab* Ana Marie Lozano* 2933 Long Beach Blvd Long Beach, CA 90806 Phone: (562)988-2414 Satellites Human Designs Prosthetic and Orthotic Lab** Ana Marie Lozano** Tustin Phone: (714)258-8144 Human Designs Prosthetic and Orthotic Lab*** Sofie Avila*** Arcadia Phone: (626)445-7797 CCS Facility Approved Date 3/95 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Eric A. Ferraco*/**/*** Orthotics 3/17/1995 Ronald Merritt*/** Orthotics & Prosthetics 8/4/2011 ________________________ * Human Designs Prosthetic & Orthotic Lab, 2933 Long Beach Blvd., Long Beach, CA
90806 ** Human Designs Prosthetic & Orthotic Lab, 1541 Parkway Loop #C, Tustin, CA 92780 *** Human Designs Prosthetic & Orthotic Lab, 49 E. Foothill Blvd., Arcadia, CA 91006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Inhous Orthopedics
General Information Office Contact Inhous Orthopedics Peter Korchin 15571 Brookhurst Phone: (714)839-9026 Westminister, CA 92683 Phone: (714)839-9026 CCS Facility Approved Date 12/17/1986 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Peter Korchin Orthotics 8/1/1993 James Carroll Orthotics & Prosthetics 3/27/2000
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Inland Artificial Limb & Brace, Anaheim
General Information Office Contact Inland Artificial Limb & Brace Guy Savidan 1250 N. Lakeview Ave, Ste E Anaheim CA 92807 Phone: (714) 693-5520
CCS Facility Approved Date 1/23/06 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Guy Savidan Prosthetics 8/1/2000 Thomas Bartczak Orthotics 6/1/1983
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Inland Artificial Limb & Brace, Chino
General Information Office Contact Inland Artificial Limb & Brace Guy Savidan 5365 Walnut Ave, Ste K Chino, CA 91710 Phone: 909-591-5818 CCS Facility Approved Date 9/20/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Bill Vuletich Orthotics 4/12/2000
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Inland Artificial Limb & Brace, Norco
General Information Office Contact Inland Artificial Limb & Brace Guy Savidan 680 Parkridge Avenue Norco, CA 92860 Phone: (951)734-1835 CCS Facility Approved Date 2/4/2009 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Bill Vuletich Orthotics 4/12/2000 Steven Kiefer Orthotics 7/25/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Inland Artificial Limb & Brace, Temecula
General Information Office Contact Inland Artificial Limb & Brace Guy Savidan 41707 Winchester Rd, Ste 102 Temecula, CA 92590 Phone: 951-296-1894 CCS Facility Approved Date 9/20/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Steven Kiefer Orthotics 7/25/2001 Guy Savidan Prosthetics 8/1/2000
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Inline Orthotic & Prosthetic
General Information Office Contact Inline Orthotic & Prosthetic Unavailable 5860 Jackson Dr. Phone: (619)667-7000 La Mesa, CA 91942 Phone: (619)667-7000 CCS Facility Approved Date 8/1/1996 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Herbert Barrack Orthotics & Prosthetics 8/1/1996
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
INNOVATIVE PROSTHETIC SOLUTIONS I
General Information Office Contact Innovative Prosthetic Solutions* Unavailable* 22672 Lambert St. Phone: (949)699-0600 Lake Forest, CA 92630 Phone: (949)699-0600 CCS Facility Approved Date 11/25/2002 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jon Tyra Rikimaru Orthotics & Prosthetics 11/25/2002
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
INNOVATIVE PROSTHETIC SOLUTIONS II
General Information Office Contact Innovative Prosthetic Solutions JT Rikamaru 23641 Birtcher Dr. Lake Forest, CA 92630 Phone: (949)699-0600 CCS Facility Approved Date 9/6/2007 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jon Tyra Rikimaru Orthotics & Prosthetics 11/25/2002
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
INTEGRAL ORTHOTICS & PROSTHETICS
General Information Office Contact Integral Orthotics & Prosthetics Larry Reib 5900 Coyle Ave. Ste B Phone: (916)349-7600 Carmichael, CA 95608 Phone: (916)349-7600 CCS Facility Approved Date 11/1/1994 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Larry Reib Orthotics 11/1/1994 Kim Tablada Prosthetics 3/1/1998
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
J & J ARTIFICAL LIMB AND BRACE
General Information Office Contact J & J Artifical Limb and Brace Martha Alejandre 15644 Pomerado Rd. Ste 103 Phone: (858)613-0958 Poway, CA 92064 Satellites J & J Artificial Limb and Brace 26732 Crown Valley Pkwy, Suite 501 Mission Viejo, CA 92691 Phone: (949)389-9952 Fax: (858)613-0959
CCS Facility Approved Date 9/19/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jason Friedman Orthotics & Prosthetics 9/1/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
J & K Orthopedic
General Information Contact Phone J & K Orthopedic Unavailable 320 E. Bonita Phone: (909)621-1180 Pomona, CA 91767 Phone: (909)621-1180 CCS Facility Approved Date 7/18/2002 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: George P. Boyer Orthotics 7/18/2002 Lance R. Clawson Orthotics & Prosthetics 7/18/2002
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
JOHNSON’S ORTHOPEDIC, Riverside General Information Office Contact Johnson’s Orthopedic* Rachel Johnson 7254 Magnolia Ave. Riverside, CA 92504 Phone: (951)785-4411 Satellites Johnson’s Orthopedic** Rachel Johnson* Pomona Phone: (909)596-8188 Johnson’s Orthopedic*** Rachel Johnson** Hesperia Phone: (760) 244-4656 Johnson’s Orthopedic**** Rachel Johnson*** Indio Phone: (760)863-3771 CCS Facility Approved Date 3/27/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: William Kearney*/**/***/**** Orthotics 10/1/1988 Gail Allison*/**/***/**** Orthotics 9/1/1990 Bonnie Tokaruk*/**/***/**** Orthotics & Prosthetics 3/1/2001 Michael Moncovich*/**/***/**** Orthotics 10/1/1988 Michelle McCoy-Whitehead* Orthotics & Prosthetics 10/4/2002 Fredrick Callihan* Orthotics 7/19/2010 Melanie Dye* Orthotics 8/7/2012 Michael Openshaw* Orthotics & Prosthetics 11/30/12 ________________________ ** Johnson’s Orthopedic, 183 W. Arrow Hwy, Pomona, CA 91767 *** Johnson’s Orthopedic, 15278 Main St., Hesperia, CA 92345 **** Johnson’s Orthopedic, 82-557 Dr. Carreon Blvd., Ste. A2, Indio, CA 92201
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
JOHNSON’S ORTHOPEDIC, SAN DIEGO
General Information Office Contact Johnson’s Orthopedic, San Diego Rachel Johnson 9570 Ridgehaven Court, Suite C Phone: (858)278-0518 San Diego, CA 92123 Phone: (858)278-0518 CCS Facility Approved Date 9/25/2000 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Larry W. Johnson Orthotics 9/1/2000
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
KOLMAN PROSTHETICS & ORTHOTICS
General Information Office Contact Kolman Prosthetics & Orthotics Joseph Freire 7633 Greenleaf Whittier, CA 90602 562-698-0988 CCS Facility Approved Date 7/19/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Joseph A. Freire Prosthetist 1/1/98
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
LAURENCE ORTHOPEDIC, CONCORD General Information Office Contact Laurence Orthopedics Unavailable 2190 Meridian Park Blvd, Ste E Concord, CA 94529 Phone: (925)827-2062 CCS Facility Approved Date 7/26/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Tony L. LaFrance Orthotics & Prosthetics 8/19/2004 Robert A Jensen Orthotics & Prosthetics 8/19/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
LAURENCE ORTHOPEDIC, OAKLAND General Information Office Contact Laurence Orthopedics Unavailable 6001 Telegraph Ave Oakland, CA 94609 Phone: (510)658-2062 CCS Facility Approved Date 7/26/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Tony L. LaFrance Orthotics & Prosthetics 8/19/2004 Robert A Jensen Orthotics & Prosthetics 8/19/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
LERMAN AND SONS General Information Office Contact Lerman and Sons* Unavailable* 8710 Wilshire Blvd Phone: (310)659-2296 Beverly Hills, CA 90211 Phone: (310)659-2296 Satellites Lerman and Sons (s)** Unavailable** Inglewood Phone: (310)677-6183 Phone: (310)677-6183 CCS Facility Approved Date 1/26/1959 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Steven Alpert* Prosthetics 8/19/2004 Wayne Eguchi* Orthotics 8/19/04 Denise Haller* Orthotics 8/19/04 Lawrence Lerman* Orthotics 8/19/04 Susan Altman* Prosthetics & Orthotics 8/19/04 ________________________ * Lerman and Sons, 8710 Wilshire Blvd., Beverly Hills, CA 90211 ** Lerman and Sons(s), 654 E. Aerick, Inglewood, CA 90301
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
LOMA LINDA UNIVERSITY MEDICAL CENTER (Seventh Day Adventists)
General Information Office Contact Loma Linda University Medical Center Unavailable 11406 Loma Linda Dr. Phone: (909)558-6272 Loma Linda, CA 92354 Phone: (909)558-6272 CCS Facility Approved Date 3/13/1998 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Leah D Johnson Orthotics 2/22/2007 Michael Davidson Orthotics & Prosthetics 3/13/1998
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
MISSION PROSTHETICS & ORTHOTICS, INC.
General Information Office Contact Mission Prosthetic & Orthotics, Inc.* Unavailable* 320 S. Tustin St. Phone: (714)633-3222 Orange, CA 92866 Phone: (714)633-3222 CCS Facility Approved Date 2/25/2000 Satellites Mission Prosthetic, Inc.** Unavailable** 26941 Cabot Rd. Ste #115 Phone: (949)916-5011 Laguna Hills, CA 92653 Phone: (949)916-5011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Rodrick Cuervo* Orthotics & Prosthetics 7/16/2001 Bill Vuletich** Orthotics 4/12/2000 ________________________ * Mission Prosthetic, Inc., 320 S. Tustin St., Orange, CA 92866 ** Mission Prosthetic, Inc., 26941 Cabot Rd., Ste #115, Laguna Hills, CA 92653
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
MONTEREY PENINSULA ORTHOTIC & PROSTHETIC SERVICES LLC
General Information Office Contact Monterey Peninsula Orthotic & Prosthetic Services, LLC James Kirn 50 Ragsdale Dr. Ste 120 David Estrada Monterey, CA 93940 Phone: (831)655-3580 Phone: (831)655-3580 Fax: (831)655-3501 CCS Facility Approved Date 9/24/2004 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jim Kirn Orthotics & Prosthetics 2/7/07
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
NOBBE ORTHOPEDICS INC.
General Information Office Contact Nobbe Orthopedics Inc.* Sharadi Nobbe* 3010 State St. Fax: (805) 687-6251 Santa Barbara, CA 93105 Phone: (805) 687-7508 Satellites Nobbe Orthopedics Inc.** Phone: (805)925-8290** 203 E. Fesler St. Fax: (805)346-8713** Santa Maria, CA 93454 Nobbe Orthopedics Inc Phone: (805) 339-0670 1645 Donlon St. Fax: (805) 339-0493 Ventura, Ca 93003 CCS Facility Approved Date 5/11/93 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Ralph Nobbe Orthotics & Prosthetics 12/29/2011 Eric Baron Orthotics & Prosthetics 6/14/2012 ________________________ * Nobbe Orthopedics Inc., 8010 State St., Santa Barbara, CA 93605 ** Nobbe Orthopedics Inc., 203 E. Fesler St., Santa Maria, CA 93454
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
NORTH BAY P & O
General Information Office Contact North Bay P & O Michael Bright 1525 Webster St, Ste E Phone: (707)425-5028 Fairfield, CA 94533 Phone: (707)425-5028 CCS Facility Approved Date 5/2/2007 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Michael Bright Orthotics & Prosthetics 5/2/2007
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
NORTH COUNTY PROSTHETICS & ORTHOTICS
General Information Office Contact North County Prosthetics & Orthotics* John Hollingseed* 8260 Morro Rd. Phone: (805)466-1296 Atsacadero, CA 93422 Phone: (805)466-1296 Satellites North County Prosthetics & Orthotics** John Hollingseed** Phone: (805)466-1296*/** Phone: (805)466-1296*/** CCS Facility Approved Date 3/23/1998 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: John Hollingsead*/** Orthotics & Prosthetics 4/1/1998 ________________________ * North County Prosthetics & Orthotics, 8260 Morro Rd., Atsacadero, CA 93422 ** North County Prosthetics & Orthotics, 310 S. Halcyon, Arroyo Grande, CA 93420
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
O & P IN MOTION General Information Office Contact O & P In Motion Unavailable 18913 Sherman Way Phone: (818)881-1785*/** Reseda, CA 91335 Phone: (818)881-1785 CCS Facility Approved Date 1996 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Phillipe Ambroset Orthotics & Prosthetics 7/1/1993
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
O’ CONNOR ORTHOPEDICS
General Information Office Contact O’Connor Orthopedics Unavailable 412 Carl Karcher Way Phone: (714)635-2650 Anaheim, CA 92801 Phone: (714)635-2650 CCS Facility Approved Date 2/11/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Rod O’Connor Orthotics & Prosthetics 2/11/2003
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ODYSSEY PROSTHETICS & ORTHOTICS INC.
General Information Office Contact Odyssey Prosthetics & Orthotics Inc Bonnie Openshaw 738 S. Waterman Ave. Ste A4 Phone: (909)890-0577 San Bernardino, CA 92408 Phone: (909)890-0577 CCS Facility Approved Date 4/25/2001 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Robert A. Openshaw Orthotics & Prosthetics 4/25/2001
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ORTHO ENGINEERING, INC. General Information Office Contact Ortho Engineering, Inc.* Steve Raymond* 1750 S. La Cienega Blvd Phone: (310)559-5996 Los Angeles, CA 90045 Phone: (310)559-5996 Satellites Ortho Engineering, Inc.** Steve Raymond ** Phone: (310)944-9488 Phone: (310)944-9488 Ortho Engineering, Inc.*** Steve Raymond *** Phone: (626)480-7718 Phone: (626)480-7718 Ortho Engineering, Inc.**** Steve Raymond **** Phone: (818)385-0303 Phone: (818)385-0303 Ortho Engineering, Inc.***** Steve Raymond ***** Phone: (310)604-0000 Phone: (310)604-0000 CCS Facility Approved Date 5/31/2000 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Rexa Afzali* Orthotics & Prosthetics 5/1/2000 Rexa Afzali** Orthotics & Prosthetics 5/1/2000 Rexa Afzali*** Orthotics & Prosthetics 5/1/2000 Rexa Afzali**** Orthotics & Prosthetics 5/1/2000 Rexa Afzali***** Orthotics & Prosthetics 5/1/2000 Charles K. Vaclavik Orthotics 7/18/2002 _______________________ * Ortho Engineering, Inc., 1750 S. La Cienega Blvd., Los Angeles, CA 90045 ** Ortho Engineering, Inc., 4201 Torrance Blvd. #760, Torrance, CA 90503 *** Ortho Engineering, Inc., 741 S. Orange Ave. #28, West Covina, CA 91790 **** Ortho Engineering, Inc., 16250 Ventura Blvd., #207, Encino, CA 91436 ***** Ortho Engineering, Inc., 3737 Martin Luther King Blvd. Ste. 606, Lynwood, CA 90262
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
ORTHOPLIANCE GROUP
General Information Office Contact Orthopliance Group Maria Robinson 107111 Riverside Drive North Hollywood, Ca 91602 818-753-1316 CCS Facility Approved Date 6/9/2009 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: James Dryden Orthotics & Prosthetics 8/1/1984
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, FRESNO
General Information Office Contact Pacific Medical Prosthetics & Orthotics Jim Bird 6085 N. First St., Ste 102 Fresno, Ca 93710 559-438-2745 CCS Facility Approved Date 7/19/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jim Bird Prosthetist 7/19/2010
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, MERCED General Information Office Contact Pacific Medical Prosthetics & Orthotics Frank Rivas 1180 Olive Ave, Suite H Merced, Ca 95348 209-722-2440 CCS Facility Approved Date 8/4/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Frank Rivas Prosthetics 8/4/2011 Roger Molina Prosthetics & Orthotics 5/6/11
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, Modesto
General Information Office Contact Pacific Medical Prosthetics & Orthotics Roger Molina 609 E. Orangeburg, Ste 102 Modesto, Ca 95350 209-526-1721 CCS Facility Approved Date 5/6/11 Paneled Orthotics & Prosthetics Providers
Name: Type: Panel Date Roger Molina Prosthetics & Orthotics 5/6/11
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, Pleasanton General Information Office Contact Pacific Medical Prosthetics & Orthotics Will Cox 4626 Willow Rd, Suite 102 Pleasanton, CA 94588 925-227-1308 CCS Facility Approved Date 5/9/2013 Paneled Orthotics & Prosthetics Providers
Name: Type: Panel Date Will Cox Prosthetics & Orthotics 5/7/2013 Robert Smith Orthotics 8/19/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, REDDING General Information Office Contact Pacific Medical P&O Brian (William) Snider 1760 Gold St. Ste 400 Redding, CA 96001 530-229-0351 CCS Facility Approved Date 7/19/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: William Snider Prosthetics 12/8/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, ROSEVILLE General Information Office Contact Pacific Medical P&O Jon Smith 1301 Secret Ravine, Ste 100 Roseville, CA 95661 916-788-0530 CCS Facility Approved Date 7/19/2010 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Jonathan Smith Prosthetics & Orthotics 7/19/2010
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, SALINAS General Information Office Contact Pacific Medical P&O 420 E. Romie Ln. Ste C Salinas, Ca 93901 831-998-7729 CCS Facility Approved Date 2/10/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date:
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, SAN JOSE General Information Office Contact Pacific Medical P&O Thomas Elias 2120 Forest Ave, Ste 3 San Jose, CA 95128 408-217-9387 CCS Facility Approved Date 8/13/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Thomas Elias Orthotics 10/29/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PACIFIC MEDICAL PROSTHETICS & ORTHOTICS, Walnut Creek General Information Office Contact Pacific Medical Prosthetics & Orthotics Robert Smith 190 N Wiget Lane, Ste 109 Walnut Creek, Ca 94598 925-935-9194 CCS Facility Approved Date 5/6/2013 Paneled Orthotics & Prosthetics Providers
Name: Type: Panel Date Will Cox Prosthetics & Orthotics 5/7/2013 Robert Smith Orthotics 8/19/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PEDIATRIC ORTHOTIC & PROSTHETIC SERVICES
General Information Office Contact Pediatric Orthotic & Prosthetic Services Dan Munoz 2425 Stockton Blvd Sacramento, CA 95817 916-453-2170 CCS Facility Approved Date 2/10/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Isagani Alcairo Orthotics 2/10/2012 Dan Munoz Orthotics 3/10/2005 Richard Wilcox Prosthetics 2/10/2012 Gregory Aaron Orthotics 2/10/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PERFORMANCE PROSTHETICS & ORTHOTIC SPECIALISTS
General Information Office Contact Performance P&O Specialists Albert Rappoport 2820 Santa Monica Blvd Santa Monica, CA 90404 310-829-2322 CCS Facility Approved Date 6/30/2000 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Albert Rappoport Prosthetics 2/5/1990
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
P & O GROUP, INC.
General Information Office Contact P & O Groups, Inc Unavailable 2669 Myrtle Ave, Phone: (562)595-6445 Signal Hill, CA 90806 Phone: (562)595-6445 CCS Facility Approved Date 4/5/2002 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Larry F. Wong Prosthetics 4/5/2002
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PROFESSIONAL ORTHOPEDIC SYSTEMS OF SACRAMENTO, LLC
General Information Office Contact Professional Ortho Systems of Sac. LLC Unavailable 5049-F College Oak Dr. Phone: (916)331-3537 Sacramento, CA 95841-4630 Phone: (916)331-3537 CCS Facility Approved Date 8/7/2004 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Carman Tablada Prosthetics 8/7/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PROGRESSIVE ORTHOPEDICS
General Information Office Contact Progressive Orthopedics Carlos Valenzuela 4224 Ohio St. San Diego, Ca 92104 619-280-9174 CCS Facility Approved Date 11/1/12 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Felix Marquez Prosthetics Bea2/6/08
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PROSTHETICS ETC., INC. General Information Office Contact Prosthetics Etc., Inc* Unavailable* 1900 E. La Palma Ave #102 Phone: (714)502-9354 Anaheim, CA 92895 Phone: (714)502-9354 Satellites Prosthetics Etc., Inc** Unavailable** 1700 E. Lincoln Ave, #101 Phone: (714)502-9354*/** Anaheim, CA 92805 Phone: (714)502-9354*/** CCS Facility Approved Date 2/29/2000 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Kevin Carey*/** Orthotics & Prosthetics 2/29/2000 ________________ * Prosthetics Etc., Inc, 1900 E. La Palma Ave #102, Anaheim, CA 92895 ** Prosthetics Etc., Inc, 1700 E. Lincoln Ave #101, Anaheim, CA 92805
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
PROSTHETIC SOLUTIONS, INC General Information Office Contact Prosthetic Solutions, Inc Unknown 3350 Scott Blvd, Ste 6301 Santa Clara, Ca 95054 (408) 845-9245
CCS Facility Approved Date 7/26/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Wade Skardoutos Prosthetics 7/26/2011
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
QUALITY CARE PROSTHETICS General Information Office Contact Quality Care Prosthetics Mark Schaal 1665 W. Katella Ave. Anaheim, Ca 92802 714-643-9206
CCS Facility Approved Date 7/19/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Mark Schaal Prosthetics 7/19/2011
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
R & J PROSTHETIC APPLIANCE COMPANY General Information Office Contact R & J Prosthetic Appliance Company Unavailable 2407 E. Main St. Phone: (895)643-4063 Ventura, CA 93003 Phone: (895)643-4063 CCS Facility Approved Date 8/19/2004 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Russell Eldeb Orthotics & Prosthetics 7/9/2004 Joseph Kearns Orthotics 8/19/2004
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
RANCHO LOS AMIGOS REHABILIATION CENTER
General Information Office Contact Rancho Lost Amigos Rehab Center Darrell Clark 7450 Leeds Street Downey, CA 90242 562-940-7655 CCS Facility Approved Date 5/6/11 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Darrell Clark Orthotics 5/6/11
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
Ray Tegerstrand Orthotic Appliance
General Information Office Contact Ray Tegerstrand Orthotic Appliance Becky Tegerstrand 2445 Athens Ave. Redding, CA 96001 530-241-4040 CCS Facility Approved Date 12/10/2008 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Ray Tegerstrand Prosthetics & Orthotics 12/10/2008 Justin Tegerstrand Prosthetics & Orthotics 12/10/2008 Deanna Hansen Orthotics 10/1988
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
REDLANDS P & O GROUP, INC.
General Information Office Contact Redlands P & O Group, Inc. Unavailable 1901 W. Lugonia Ave. Ste. 220 Phone: (909)798-5853 Redlands, CA 92374 Phone: (909)798-5853 CCS Facility Approved Date 5/12/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Wesley L. Golay Orthotics & Prosthetics 6/1/1989
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
RESTORE ORTHOTICS AND PROSTHETICS
General Information Office Contact Restore Orthotics and Prosthetics Jason Dunphy 2147 Court Street Phone: (530) 605-4292 Redding, CA 96001 Phone: (530) 605-4292 CCS Facility Approved Date 10/29/2013 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Timothy A. Elliott Orthotics 10/20/2008 Richard O’Sullivan Prosthetics 12/8/2008
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SALINAS VALLEY PROSTHETICS & ORTHOTICS
General Information Office Contact Salinas Valley P&O 931 S. Main St, Ste B Salinas, CA 93901 831-424-9100 CCS Facility Approved Date 8/4/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Randy Furushiro Orthotics & Prosthetics 2/5/01
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SAN FRANCISCO PROSTHETIC-ORTHOTIC SERVICE, INC. General Information Office Contact San Francisco Prosthetic-Orthotic Service, Inc. Helen Morse 324 Divisadero St. Phone: (415)861-4146 San Francisco, CA 94117-2209 Fax: (415)861-0653 Phone: (415)861-4146 CCS Facility Approved Date 3/1/2005 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Wayne Adam Koniuk Prosthetics 8/1/1983
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SCOPE ORTHOTICS & PROSTHETICS, INC., El Centro
General Information Office Contact El Centro Office Diane Quinn 1600 S. Imperial Phone: (760)336-0333 El Centro, CA 92243 Phone: (760)336-0333 CCS Facility Approved Date 8/12/1999 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Albert Williams Orthotics & Prosthetics 8/1/1996
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SCOPE ORTHOTICS & PROSTHETICS, INC., Laguna Woods
General Information Office Contact Laguna Woods Office Diane Quinn 24331 El Toro Rd Laguna Woods, CA 92637 Phone: (949)583-9667 CCS Facility Approved Date 1/10/07 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Garry M. Yamamoto Orthotics & Prosthetics 1/10/2007
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SCOPE ORTHOTICS & PROSTHETICS, INC., Mission Viejo
General Information Office Contact Mission Viejo Office* Diane Quinn* 26440 La Alameda, #320 Phone: (949)367-6600 Mission Viejo, CA 92691 Phone: (949)367-6600 Satellites Orange County Office** Diane Quinn** Phone: (714)639-7422 Phone: (714)639-7422 Chula Vista Office*** Diane Quinn*** Phone: (619)585-8421 Phone: (619)585-8421 CCS Facility Approved Date 8/12/1999 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Randy Young* Orthotics 3/1/1985 Steve Tregoning*** Orthotics & Prosthetics 5/15/2007 ________________________ * Mission Viejo Office, 26440 La Alameda, #320, Mission Viejo, CA 92691 ** Orange County Office, 1920 E. Katella Avenue, #1, Orange, CA 92868 *** Chula Vista Office, 340 Fourth Avenue, #14, Chula Vista, CA 91910
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SCOPE ORTHOTICS & PROSTHETICS, INC., SAN DIEGO
General Information Office Contact Kearny Mesa Office* Diane Quinn* 7720 Cardinal Court Phone: (858)292-7448 San Diego, CA 92123 Phone: (858)292-7448 Satellites La Jolla Office** Diane Quinn** Phone: (858)453-1933 Phone: (858)453-1933 La Mesa Office*** Diane Quinn*** Phone: (619)589-9980 Phone: (619)589-9980 North County Office**** Diane Quinn**** Phone: (760)489-0533 Phone: (760)489-0533 Vista Office***** Diane Quinn***** Phone: (760)941-1323 Phone: (760)941-1323 CCS Facility Approved Date 8/12/1999 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Anthony DiSanto*/****/***** Prosthetics 7/1/1995 Kel Bergmann* Orthotics & Prosthetics 7/1/95 Randy Mason* Prosthetics 9/1/1983 Robert Wilcox** Orthotics 7/1/95 Eddy Gosschalk***/**** Orthotics & Prosthetics 5/1/1995 Albert Williams*** Orthotics & Prosthetics 8/1/1996 Laura B. Franz*** Orthotics & Prosthetics 9/9/2008 Marlin Rings***** Orthotics 7/1/95 Bob Sorenson***** Prosthetics & Orthotics 12/1/1995 Sarah Riddar*** Orthotics & Prosthetics 5/27/12 ________________________ * Kearny Mesa Office, 7720 Cardinal Court, San Diego, CA 92123 ** La Jolla Office, 4150 Regents Park, #265, La Jolla, CA 92037 *** La Mesa Office, 8875 La Mesa Blvd. #B, La Mesa, CA 91941 **** North County Office, 475 North Grape, Escondido, CA 92025 ***** Vista Office, 1929 W. Vista Way, #A, Vista, CA 92083
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SCOPE ORTHOTICS & PROSTHETICS, INC., TEMECULA General Information Office Contact Temecula Office Michael Ward 31213 Temecula Parkway, Ste 105 Temecula, CA 92592 Phone: 951-506-7850 CCS Facility Approved Date 11/3/08 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Michael Ward Prosthetics & Orthotics 10/30/06
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SFGH ORTHO APPLIANCE FACILITY General Information Office Contact SFGH Ortho Appl. Fac. Unavailable 1001 Pottero Ave, Rm GQ3 Phone: (413)206-4387 San Francisco, CA 94110-3518 Phone: (413)206-4387 CCS Facility Approved Date 2/5/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Kermit G. Clayton Orthotics 2/5/2003
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SHORELINE P & O
General Information Office Contact Shoreline P & O Robert Tschida 1010 Water Street Phone: (831)421-0007 Santa Cruz, CA 95062 Phone: (831)421-0007 CCS Facility Approved Date 9/04/2013 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Robert Tschida Prosthetics & Orthotics 8/23/2013
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SIERRA ORTHOPEDIC LABS
General Information Office Contact Sierra Orthopedic Labs Jennifer Tellez 50 Montgomery Dr. Phone: (707)528-9808 Santa Rosa, CA 95404 Phone: (707)528-9808 CCS Facility Approved Date 9/29/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Jonathan Batzdorff Prosthetics & Orthotics 12/1/1994
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SMART PROSTHETICS ORTHOTICS INC
General Information Office Contact Smart Prosthetics Orthotics Inc Bryan Potok 1407 N Vermont Ave, Suite B Los Angeles, Ca 90027 323-662-1100 CCS Facility Approved Date 5/6/11 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Bryan Potok Prosthetics & Orthotics 5/6/11
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
SPECTRUM P & O, INC
General Information Office Contact Spectrum P & O, Inc Unavailable 2135 Pine Street Phone: (530)243-4500 Redding, CA 96001 CCS Facility Approved Date 4/19/2006 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Douglas R. Young Orthotics & Prosthetics 2/26/2007 Jeff A. Zeller Prosthetics 4/19/2006
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
TAED’S Orthotics & Prosthetics
General Information Office Contact Taed’s O & P 855 4th St. Pismo Beach, CA 93449 805-773-8233 CCS Facility Approved Date 7/1/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Taed Studer Orthotics and Prosthetics 5/1/1993
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
TEMECULA VALLEY O & P
General Information Office Contact Temecula Valley O & P Michelle Whitehead 36243 Inland Valley Dr., Ste 30 Phone: (951)696-4447 Wildomar, CA 92595 Phone: (951)696-4447 CCS Facility Approved Date 10/4/2002 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Michelle McCoy-Whitehead Orthotics & Prosthetics 10/4/2002
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
UCSF O&P Center
General Information Office Contact UCSF O&P Center None 521 Parnassus Ave, Rm C-36 San Francisco, CA 94143 Phone: (415) 476-1788 CCS Facility Approved Date 5/18/05 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Matthew Giribaldi Orthotics & Prosthetics 5/18/05 Kenneth Kane Orthotics 5/18/05 Darrell Christensen Orthotics 5/18/05 Charles McIntyre Orthotics & Prosthetics 5/18/05 Felipe Villanueva Orthotics 5/18/05 Walter Racette Orthotics & Prosthetics 5/18/05 Heidi Truman Orthotics & Prosthetics 8/12/2011
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
UPRIGHT P & O General Information Office Contact Upright P & O Unavailable 10132 Artesia Place Phone: (562)461-0334 Bellflower, CA 90706 Phone: (562)461-0334 CCS Facility Approved Date 8/6/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Thomas M. Ramm Orthotics & Prosthetics 8/6/2003
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
VALLEY INSTITUTE OF PROSTHETICS & ORTHOTICS, Bakersfield General Information Office Contact Valley Institute of P&O Unknown 1524 21st St, Ste B Bakersfield, Ca 93301 (661)-322-1005 CCS Facility Approved Date 7/28/2011 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: James Bernardino Orthotics & Prosthetics 7/28/2011 Ava Herbrick Orthotics & Prosthetics 3/19/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
VALLEY INSTITUTE OF PROSTHETICS & ORTHOTICS, Newhall General Information Office Contact Valley Institute of P&O Ava Herbrick 23033 Lyons Ave, Ste 6 Newhall, CA 91321 (661) 253-1191 CCS Facility Approved Date 6/6/2012 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: James Bernardino Orthotics & Prosthetics 9/21/2010 Ava Herbrick Orthotics & Prosthetics 3/19/2012
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
VALLEY ORTHOPEDIC INC.
General Information Office Contact Valley Orthopedic Inc.* Sandra Beall* 3520 E. Shields Ave. Ste 102 Phone: (559)221-1933 Fresno, CA 93726 Phone: (559)221-1933 Satellites Valley Orthopedic Inc. ** Sandra Beall** Phone: (559)733-7976 Phone: (559)221-1933* Valley Orthopedic Inc. *** Sandra Beall*** Phone:(559)261-1300 Phone: (559)221-1933* CCS Facility Approved Date 7/1/1996 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date: Thomas E. Beall*/*** Orthotics & Prosthetics 8/1/1983 Scott Weisman*/** Orthotics & Prosthetics 7/29/2002 Mark Bratton*/** Orthotics & Prosthetics 7/29/2002 Mark Vera*** Orthotics 10/29/2002 Timothy Kanallakan** Prosthetics 4/27/2012 Bryce Aebi* Orthotics 11/1/12 Rachel Aebi* Orthotics 11/1/12 Thomas J. Beall* Prosthetics 11/1/12 ________________ * Valley Orthopedic Inc., 3520 E. Shields, Ste. 102, Fresno, CA 93726 ** Valley Orthopedic Inc., 5603 W. Hilsdale, Visalia, CA 93291 *** Valley Orthopedic Inc., 1247 Alluvial, #103, Fresno, CA 93720
Department Of Health Services Children’s Medical Services (CMS) MS 8100 P.O. Box 997413 Sacramento, CA 95899-7413
January 31, 2014
VOGUE PROSTHETIC & ORTHOTIC CENTER General Information Office Contact Vogue Prosthetic & Orthotic Center* Unavailable* 18519 Roscoe Blvd. Phone: (818)349-2230 Northridge, CA 91324 Phone: (818)349-2230 Satellites Vogue Prosthetic & Orthotic Center (s)** Unavailable** Thousand Oaks Phone: (805)496-1660 Phone: (805)496-1660 CCS Facility Approved Date 6/16/2003 Paneled Orthotics & Prosthetics Providers Name: Type: Panel Date Rick Chavez*/** Orthotics & Prosthetics 6/16/2003 Kent Tracy*/** Orthotics & Prosthetics 6/16/2003 David Jeffries*/** Orthotics 6/16/2003 _________________________ * Vogue Prosthetic & Orthotic Center, 18519 Roscoe Bl., Northridge, CA 91324 ** Vogue Prosthetic & Orthotic Center (s), 101 Hoden Camp Rd. #107,Thousand Oaks, CA 91360
