Systik Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SRJH99159048 Issued in CA

Legal business name

SYSTIK MEDICAL, INC.

Practice address

3920 Cypress Dr
Petaluma, CA 94954-5694

Phone

(707) 765-3141

Fax

(707) 776-2682

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward J Boracchia

Title

Ceo

Phone

(707) 765-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346394145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 CYPRESS DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545694",
            "telephone_number": "707-765-3141",
            "fax_number": "707-776-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 CYPRESS DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545694",
            "telephone_number": "707-765-3141",
            "fax_number": "707-776-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTIK MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORACCHIA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-765-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "SRJH99159048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Reynolds Swanson, D.C.
• Sean Sweeney
• Rodney Lee Sweet, D.C.
• Mary Louise Swift, LCSW LISW
• Julie A Sylvia, BEHAVIOR TECHNICIAN
• Laura Szanyi
• Thomas Randall Szutz, D.D.S.
• Yvonne A Szyperski, DDS
• Taatjes Chiropractic Inc.
• Joel A Taatjes, D.C.

• Durable Medical Equipment & Medical Supplies in Petaluma, CA
• Providers in Petaluma, 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 Aug 22, 2020; 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.