ABLE ORTHO CLINIC INC — NPI 1124738257 (Licensed & Credentialed Suppliers — Prosthetic

CMS-1500 Box 24J / 33a • NPI

1124738257

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

335E00000X (CMS 51)

Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier

Box 32 Service Location & ZIP+4

1411 RIMPAU AVE STE 110, CORONA, CA, 92879-2681

✓ 9-Digit EDI 837 ZIP+4 (92879-2681)

Practice Phone & Referral Fax

(951) 531-8035

Fax: (951) 929-5033

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124738257 (ABLE ORTHO CLINIC INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124738257` (NPI-2 Organization / Facility)
Provider / Legal Name	ABLE ORTHO CLINIC INC
Plain-English Specialty	Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier NUCC Code: `335E00000X` (Prosthetic/Orthotic Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1411 RIMPAU AVE STE 110, CORONA, CA, 92879-2681
Practice Telephone / Fax	Tel: (951) 531-8035 \| Fax: (951) 929-5033
Administrative Mailing Address	2982 MCDONALD LN, CORONA, CA, 92881-8212
Enumeration & Last Sync	Enumerated: 2022-11-30 \| CMS Record Updated: 2022-11-30
Authorized Official	AVI MITRA (OWNER / CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1411 RIMPAU AVE STE 110, CORONA, CA, 92879-2681

🗺️ Open in Google Maps 🏥 More Providers in CORONA

🔒 Are you ABLE ORTHO CLINIC INC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (335E00000X)

What Does Taxonomy Code 335E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335E00000X translates to:
"Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 51 (Medical Supply Company with Orthotist) • CMS Code 52 (Medical Supply Company with Prosthetist) • CMS Code 53 (Medical Supply Company with Orthotist-Prosthetist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetic/Orthotic Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABLE ORTHO CLINIC INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`335E00000X` — Prosthetic/Orthotic Supplier Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABLE ORTHO CLINIC INC (NPI #1124738257)