Allam Dalati, CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1080 Mason Mall Ste 6C
Crescent City, CA 95531-4335

Phone

(707) 465-1111

Fax

(479) 621-9960

NPI assigned

Mar 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ortho Care Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Allam Dalati

  • Prosthetic/Orthotic Supplier
  • Crescent City, CA
  • NPI 1518138080
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1215108774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1972",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727571972",
            "telephone_number": "707-465-1111",
            "fax_number": "479-621-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 MASON MALL STE 6C",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314335",
            "telephone_number": "707-465-1111",
            "fax_number": "479-621-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALATI",
        "first_name": "ALLAM",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORTHO",
            "last_name": "CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel R Cumbra, CADCII
• Jacque Lucille Cummings, LMFT
• Kiley Cundiff, AMFT
• Elizabeth Cushman
• Michele Dominique Cusumano
• Shawn Dennis Daly
• Angelina Vivian Leigh Danna
• Cheryl Davila, MA
• Barbara A Davis, LCSW
• Brenda Davis, LCSW

• Prosthetic/Orthotic Supplier in Crescent City, CA
• Providers in Crescent City, 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 Mar 12, 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.