Active NPI
Sandra L Vitale
- Prosthetic/Orthotic Supplier
- Turlock, CA
National Provider Identifier
1346343365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SANDRA L VITALE
- Practice address
- 130 Regis St
Suite a
Turlock, CA 95382-1129 - Phone
- (209) 634-9021
- Fax
- (209) 634-9023
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
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) 634-9021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
130 Regis St
Suite a
Turlock, CA 95382-1129
Mailing address
130 Regis St
Suite a
Turlock, CA 95382-1129
Phone (209) 634-9021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XB0006060 | Medicaid | CA |
Other names 1
- TURLOCK ORTHOTICS & PROSTHETICS
National Provider Directory
National Provider DirectoryLocations
130 Regis St
Ste A
Turlock, CA 95382
Phone (209) 634-9021
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Turlock, CA
- NPI 1457385106
NPI Registry JSON
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": "1346343365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 REGIS ST",
"address_2": "SUITE A",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821129",
"telephone_number": "209-634-9021",
"fax_number": "209-634-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 REGIS ST",
"address_2": "SUITE A",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821129",
"telephone_number": "209-634-9021",
"fax_number": "209-634-9023"
}
],
"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": "209-634-9021",
"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": "XB0006060",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TURLOCK ORTHOTICS & PROSTHETICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Turlock, CA
Sources for this page
- 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.