MR. STEVEN THOMAS VITALE (NPI# 1144434622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144434622 |
Entity Type | Individual |
Full Name | MR. STEVEN THOMAS VITALE |
Credential | C.P.O. |
Practice Address |
1005 W Orangeburg Ave Ste A Modesto CA 95350-4163 |
Practice Telephone | 2095751063 |
Practice Fax Number | 2095751065 |
Mailing Telephone | 2095751063 |
Mailing Fax Number | 2095751065 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CPO2516 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | XA0151460 | 05 |
Street Address |
1005 W ORANGEBURG AVE STE A |
City | MODESTO |
State | CA |
Zip Code | 95350-4163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053414052 | Sandra L Vitale | Prosthetic/Orthotic Supplier | 1005 W Orangeburg Ave, Suite A, Modesto, CA 95350-4163 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215958368 | West Coast Orthotic & Prosthetic Services Inc | Orthotic Fitter | 1705 Coffee Rd, Ste 3, Modesto, CA 95355 | 2006-07-22 |
1740219336 | Center for Independent Rehabilitative Services, Inc | Orthotic Fitter | 1508 Coffee Rd Ste A, Modesto, CA 95355 | 2006-07-03 |
1598701427 | Center for Independent Rehabilitative Services Inc | Orthotic Fitter | 937 Coffee Rd, Suite 1, Modesto, CA 95355-4240 | 2006-06-20 |
1548583974 | Lindsey Gonsales | Orthotic Fitter | 937 Coffee Rd, Modesto, CA 95355-4240 | 2010-03-12 |
1609011196 | Cindy Thomas | Orthotic Fitter | 1705 Coffee Rd, Suite 3, Modesto, CA 95355-2809 | 2008-12-11 |
1902093990 | Thomas P Zarzana | Orthotic Fitter | 937 Coffee Rd, Modesto, CA 95355-4240 | 2007-10-03 |
1922295914 | Christina Miller | Orthotic Fitter | 937 Coffee Rd, Modesto, CA 95355-4240 | 2007-10-03 |
1972790087 | Jeff L Anderson | Orthotic Fitter | 937 Coffee Rd, Modesto, CA 95355-4240 | 2007-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.