David Steven Sulis, CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP002649 Issued in CA

Practice address

3714 Tibbetts St
Suite 104
Riverside, CA 92506-2661

Phone

(951) 367-6702

Fax

(951) 367-7789

NPI assigned

Nov 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Orthotics & Prosthetics, LLC.

  • Prosthetic/Orthotic Supplier
  • Riverside, CA
  • NPI 1104856806

  Customized Equipment

  NPD (past) Authorized official
• American Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • San Bernardino, CA
  • NPI 1598038614
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1477733962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 TIBBETTS ST.",
            "address_2": "SUITE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063020",
            "telephone_number": "951-367-6702",
            "fax_number": "951-367-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 TIBBETTS ST",
            "address_2": "SUITE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062661",
            "telephone_number": "951-367-6702",
            "fax_number": "951-367-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIS",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "C22175",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CP002649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0029550",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "CMS168487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Suha
• Robert Lawrence Suiter, PH.D., PSY.D.
• Riley Suitor
• Kellie Rose Sukkar
• Alana Dominique Suleiman
• Linda Marie Sullivan, LMFT
• Lynnette Navarro Sullivan
• Stephanie Sully
• Ryan Sulman
• Brendan Sultan

• Prosthetic/Orthotic Supplier in Riverside, CA
• Providers in Riverside, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.