Organization Active NPI

Sandra L Vitale

  • Prosthetic/Orthotic Supplier
  • Turlock, CA
National Provider Identifier
1346343365
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XB0006060MedicaidCA

Other names 1

  • TURLOCK ORTHOTICS & PROSTHETICS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.