Healthcare Provider Details

I. General information

NPI: 1255542668
Provider Name (Legal Business Name): RANDY FURUSHIRO FURUSHIRO CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E ROMIE LN STE 3
SALINAS CA
93901-4026
US

IV. Provider business mailing address

7531 WATERVILLE PL
GILROY CA
95020-3088
US

V. Phone/Fax

Practice location:
  • Phone: 408-848-4446
  • Fax: 408-848-4446
Mailing address:
  • Phone: 408-848-4446
  • Fax: 408-848-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO851
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: