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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NPI Details

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentC22175CALIFORNIANo
2335E00000XProsthetic/Orthotic SupplierCP002649CALIFORNIAYes

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
1CMS168487OTHERCALIFORNIACCS
2XA0029550MEDICAIDCALIFORNIA
35235110001MEDICARE NSCCALIFORNIA

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: 11/21/2025

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