Christine I Dimaio

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Legal business name

CHRISTINE I DIMAIO

Doing business as

Irenes Fitting Room

Practice address

5979 Commerce Blvd Ste 10
Rohnert Park, CA 94928-1650

Phone

(707) 303-7261

NPI assigned

Nov 10, 2010

Last updated

Nov 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine I Dimaio

Title

Owner

Phone

(707) 303-7261

Specialties & licenses 2

Addresses

Other names 1

• Irenes Fitting Room Doing business as

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1194026930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 COMMERCE BLVD STE 10",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281650",
            "telephone_number": "707-303-7261",
            "fax_number": "860-747-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 COMMERCE BLVD STE 10",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281650",
            "telephone_number": "707-303-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE I DIMAIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "DIMAIO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-303-7261"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "CT",
            "license": "CMF01542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irenes Fitting Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mastectomy Fitter in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Mastectomy Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.