ODERMATT ENTERPRISES INC (NPI# 1316030992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316030992 |
| Entity Type | Organization |
| Organization Name | ODERMATT ENTERPRISES INC |
| Other Organization Name | SHOES THAT FIT |
| Practice Address |
8649 Elk Grove Blvd Elk Grove CA 95624-1790 |
| Mailing Address |
2210 Pacific Ave Stockton CA 95204-5334 |
| Practice Telephone | 2093370076 |
| Practice Fax Number | 2094634897 |
| Mailing Telephone | 2093370076 |
| Mailing Fax Number | 2094634897 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | HEIDI BARBARA ODERMATT (OWNER) |
| Authorized Official Telephone | 2093370076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | KAISER VENDOR NUMBER | 0191089 | 01 |
| Other Name | Type Code |
|---|---|
| SHOES THAT FIT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952460867 | Odermatt Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2401 E Orangeburg Ave, Suite 535, Modesto, CA 95355-3351 | 2006-12-06 |
| Street Address |
8649 ELK GROVE BLVD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053857243 | Skm Medical Technology | Durable Medical Equipment & Medical Supplies | 9382 Briartown Ct, Elk Grove, CA 95624-6067 | 2017-01-11 |
| 1356689087 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 10075 Bruceville Rd, Elk Grove, CA 95757-9501 | 2013-01-31 |
| 1528319506 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8455 Elk Grove Blvd, Elk Grove, CA 95758-9573 | 2012-10-01 |
| 1124386495 | Jacobs Medical Supply,llc | Durable Medical Equipment & Medical Supplies | 8213 Crichton Way, Elk Grove, CA 95758-8028 | 2012-04-24 |
| 1316251937 | Elk Grove Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 8949 Elk Grove Blvd, Elk Grove, CA 95624-1942 | 2010-08-06 |
| 1609100189 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 9260 Elk Grove Boulevard, Elk Grove, CA 95624-2103 | 2009-09-30 |
| 1023025020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9200 Elk Grove Florin Rd, Elk Grove, CA 95624-1609 | 2006-08-02 |
| 1326054701 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7299 Laguna Blvd, Elk Grove, CA 95758-5059 | 2006-07-31 |
| 1720094014 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 7211 Elk Grove Boulevard, Elk Grove, CA 95758-5500 | 2006-07-31 |
| 1942215033 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8400 Elk Grove Florin Rd, Elk Grove, CA 95624-9450 | 2006-07-29 |
| Find all providers in ELK GROVE | ||||
Please comment or provide details below to improve the information on ODERMATT ENTERPRISES INC.
| 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.