Spectrum of Santa Rosa

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM OF SANTA ROSA

Practice address

1041 4TH St
Santa Rosa, CA 95404-4329

Phone

(541) 734-2435

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Forest R Sexton, CPO

Title

Orthotist/Prosthetist

Phone

(541) 734-2435

Specialties & licenses 1

Addresses

Other names 1

• SPECTRUM ORTHOTICS & PROSTHETICS Doing business as

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1821484056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046242",
            "telephone_number": "541-734-2435",
            "fax_number": "541-734-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "541-734-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF SANTA ROSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORTHOTIST/PROSTHETIST",
        "authorized_official_telephone_number": "541-734-2435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM ORTHOTICS & PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Sparacio, RD CDE
• Harvey Sparks
• Ingri Seath Sparling, RDHAP
• Olivia Spaulding
• Spectrum O & P of Santa Rosa
• Speech Ally, Speech Pathology Corporation
• Megan Sloane Speed
• Gloria Diane Speicher, PH.D
• Andrea Spence
• Kathleen P. Spence

• Prosthetic/Orthotic Supplier in Santa Rosa, CA
• Providers in Santa Rosa, 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 Apr 14, 2015; 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.