Sunrise Shoes and Pedorthic SRVC Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUNRISE SHOES AND PEDORTHIC SRVC CORP

Practice address

5333 Sunrise Blvd
Fair Oaks, CA 95628-3539

Phone

(916) 368-7700

Fax

(916) 368-7717

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Peter S Wong, CPED

Title

Ceo

Phone

(916) 368-7700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1366688707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 FITE CIR STE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271803",
            "telephone_number": "916-368-7700",
            "fax_number": "916-368-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 SUNRISE BLVD",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283539",
            "telephone_number": "916-368-7700",
            "fax_number": "916-368-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SHOES AND PEDORTHIC SRVC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-368-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Michele Strider
• Noelle Elaine Stroppini
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• Venice Sullivan, CNMT
• Sunny Badyal DDS Inc
• Sunshine Care Home
• Russell A Sutliff, D.D.S.,M.S.
• Marykelly Sutton, MD
• Elisabeth Sarah Swan, O.D.
• Delaney Swanson, LVN

• Specialist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.