Odermatt Enterprises Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ODERMATT ENTERPRISES INC

Doing business as

SHOES THAT FIT

Practice address

8649 Elk Grove Blvd
Elk Grove, CA 95624-1790

Phone

(209) 337-0076

Fax

(209) 463-4897

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Heidi Barbara Odermatt

Title

Owner

Phone

(209) 337-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHOES THAT FIT Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1316030992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045334",
            "telephone_number": "209-337-0076",
            "fax_number": "209-463-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241790",
            "telephone_number": "209-337-0076",
            "fax_number": "209-463-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODERMATT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "ODERMATT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-337-0076"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER VENDOR NUMBER",
            "identifier": "0191089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOES THAT FIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chinenye Ngozika Obiaga, RN
• Nkem Obiaga
• Tara Courtney Obidigbo
• Denise Alejandra Ochoa, PA-C
• Jason Ochoa, FNP, PA-C
• Unwam I Oduok
• Irene Ogbeiwe, FNP
• Masis Ohanesyan, RPH
• Jon S. Oide, MD
• Zack Ojinaga, RCEP

• Durable Medical Equipment & Medical Supplies in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.