Sandra L Vitale

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SANDRA L VITALE

Doing business as

Pacific Orthotics & Prosthetics

Practice address

1005 W Orangeburg Ave
Suite a
Modesto, CA 95350-4163

Phone

(209) 575-1063

Fax

(209) 575-1065

NPI assigned

Sep 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandy L Vitale

Title

Owner

Phone

(209) 575-1063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PACIFIC ORTHOTICS & PROSTHETICS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Thomas Vitale, C.P.O.

  • Orthotic Fitter
  • Modesto, CA
  • NPI 1144434622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1053414052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W ORANGEBURG AVE",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504163",
            "telephone_number": "209-575-1063",
            "fax_number": "209-575-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W ORANGEBURG AVE",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504163",
            "telephone_number": "209-575-1063",
            "fax_number": "209-575-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L VITALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-575-1063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC ORTHOTICS & PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mickey Sandoval
• Nicholaus Sandoval
• Roselyn I Sandoval
• Vanessa Alexandra Sandoval
• Veronica Sandoval, ED.S
• Denise Sanford
• Robert Sanford
• Amandeep Sanghera, MD
• Navdeep Kaur Sanghera, RN
• Prerna Sangle

• Prosthetic/Orthotic Supplier in Modesto, CA
• Providers in Modesto, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.