Active NPI
Verna Lee Stivender
- Customized Equipment (DME)
- Los Altos, CA
National Provider Identifier
1508060443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.