Steven Thomas Vitale, C.P.O.

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

CPO2516 Issued in CA

Practice address

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

Phone

(209) 575-1063

Fax

(209) 575-1065

NPI assigned

May 10, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandra L Vitale

  dba Pacific Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Modesto, CA
  • NPI 1053414052
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144434622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W ORANGEBURG AVE",
            "address_2": "STE 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": "STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504163",
            "telephone_number": "209-575-1063",
            "fax_number": "209-575-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": "CPO2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0151460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Faire Optometry PC
• Vision Faire Optometry, Inc. a Professional Optometric Corporation
• Vision Value (Stanton Optical)
• Vision Works Optometry, Inc. (Vision First Optometry)
• Greta Rae Viss
• Vitreo-Retinal Medical Group, Inc. (Modesto Retina Center, Inc.)
• Bianca Vlad, FNP-C
• Alex Vo, CRNA
• Cindy Vo
• Trinh Mai Ngoc Vo, DDS

• Orthotic Fitter in Modesto, CA
• Providers in Modesto, CA by specialty
• Orthotic Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.