Active NPI
Scott Vermeulen, C.O.
- Orthotist
- Davis, CA
National Provider Identifier
1487010062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 635 Anderson Rd
Suite 18
Davis, CA 95616-3505 - Phone
- (530) 204-5123
- NPI assigned
- Jan 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
635 Anderson Rd
Suite 18
Davis, CA 95616-3505
Mailing address
635 Anderson Rd
Suite 18
Davis, CA 95616-3505
Phone (530) 204-5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1487010062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 ANDERSON RD",
"address_2": "SUITE 18",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163505",
"telephone_number": "530-204-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 ANDERSON RD",
"address_2": "SUITE 18",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163505",
"telephone_number": "530-204-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMEULEN",
"first_name": "SCOTT",
"credential": "C.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.