Spectrum of Santa Rosa

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECTRUM OF SANTA ROSA

Doing business as

Spectrum Orthotics & Prosthetics

Practice address

1041 4TH St
Santa Rosa, CA 95404-4329

Phone

(541) 734-2435

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

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, CPONPI 1609182377

Title

Orthotist/Prosthetist

Phone

(541) 734-2435

Specialties & licenses 1

Addresses

Other names 1

• SPECTRUM ORTHOTICS & PROSTHETICS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Forest Ray Sexton, CPO

  • Specialist
  • Medford, OR
  • NPI 1609182377
  Authorized official Same address or phone

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 (Spectrum Orthotics & Prosthetics)
• 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.