Sunrise Shoes & Pedorthic Service

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUNRISE SHOES & PEDORTHIC SERVICE

Practice address

3127 Fite Cir
Suite G
Sacramento, CA 95827-1803

Phone

(916) 368-7700

Fax

(916) 368-7717

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Miss Michelle Nicholle Durante

Title

Manager

Phone

(916) 368-7700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1730254145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 FITE CIR",
            "address_2": "SUITE 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": "3127 FITE CIR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271803",
            "telephone_number": "916-368-7700",
            "fax_number": "916-368-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SHOES & PEDORTHIC SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "DURANTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NICHOLLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-368-7700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "0127817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.