DAVID STEVEN SULIS CPO NPI 1477733962

NPI Information

NPI: 1477733962
Provider Name: DAVID STEVEN SULIS, CPO
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
3714 TIBBETTS ST
SUITE 104
RIVERSIDE, CA
ZIP 92506
Phone: (951) 367-6702
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David Steven Sulis, CPO is a prosthetic orthotic supplier in Riverside, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. David Steven Sulis, CPO NPI is 1477733962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3714 TIBBETTS ST
SUITE 104
RIVERSIDE, CA
ZIP 92506-661
Phone: (951) 367-6702
Fax: (951) 367-7789

The enumeration date for this NPI number is 11/13/2007 and was last updated on 10/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	C22175	CALIFORNIA	No
2	335E00000X	Prosthetic/Orthotic Supplier		CP002649	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CMS168487	OTHER	CALIFORNIA	CCS
2	XA0029550	MEDICAID	CALIFORNIA
3	5235110001	MEDICARE NSC	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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