Organization Active NPI

Verna Lee Stivender

  • Customized Equipment (DME)
  • Los Altos, CA
National Provider Identifier
1508060443
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
VERNA LEE STIVENDER
Practice address
1564 Miramonte Avenue
#A
Los Altos, CA 94024
Phone
(650) 917-1771
Fax
(650) 917-1551
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Ms. Lee Stivender
Title
Owner Mastectomy Cert Fitter and Co
Phone
(650) 917-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1564 Miramonte Avenue
#A
Los Altos, CA 94024

Mailing address

1564 Miramonte Avenue
#A
Los Altos, CA 94024
Phone (650) 917-1771

National Provider Directory

National Provider Directory

Locations

1564A Miramonte Ave
Los Altos, CA 94024
Phone (650) 917-1771

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1508060443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 MIRAMONTE AVENUE",
            "address_2": "#A",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94024",
            "telephone_number": "650-917-1771",
            "fax_number": "650-917-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 MIRAMONTE AVENUE",
            "address_2": "#A",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94024",
            "telephone_number": "650-917-1771",
            "fax_number": "650-917-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNA LEE STIVENDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "STIVENDER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER MASTECTOMY CERT FITTER AND CO",
        "authorized_official_telephone_number": "650-917-1771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.