Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUNRISE SHOES & PEDORTHIC SERVICE
Active
Organization
SUNRISE SHOES & PEDORTHIC SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE NICHOLLE DURANTE (MANAGER)
(916) 368-7700
Entity
Organization
Contact information
Practice address
3127 FITE CIR, SUITE G, SACRAMENTO, CA 95827-1803
(916) 368-7700
(916) 368-7717
Mailing address
3127 FITE CIR, SUITE G, SACRAMENTO, CA 95827-1803
(916) 368-7700
(916) 368-7717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127817
KAISER
CA
05
—
GXC000820
—
CA
Enumeration date
11/21/2006
Last updated
04/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up