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Active NPI 1710534821 Individual Practitioner Male Practitioner

Alpha Iscandari Sanusi , BOCPO

Prosthetist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Alpha Sanusi, BOCPO is a registered healthcare professional specializing in Prosthetist in Riverside, CA. Practice services are available at 1760 CHICAGO AVE STE L21 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1760 Chicago Ave Ste L21

Riverside, CA 925072326

Telephone 6266223359
Associated Practice Facility / Clinic
🏢 Alcam Home Health Care Inc. Facility NPI 1326783291

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Riverside, CA (316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License CA C51502

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License CA C51502

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Orthotist/prosthetist Credential
C51502 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1578110508

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2019

Registered at 1760 CHICAGO AVE STE L21, RIVERSIDE, CA 925072326 (Tel: 6266223359)

📍
Updated Business Mailing Address August 22, 2019

Registered at 1760 CHICAGO AVE STE L21, RIVERSIDE, CA 925072326 (Tel: 6266223359)

👤
Provider Name / Credentials Updated August 22, 2019

Recorded as ALPHA SANUSI, BOCPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Orthotist (License #C51502 in CA)

🟢
Initial NPI Registration & Enumeration August 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710534821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: August 22, 2019
Sole Proprietor: No

Mailing Address

1760 Chicago Ave Ste L21

Riverside, CA 925072326

Phone: 6266223359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.