Healthcare Provider Details

I. General information

NPI: 1184609844
Provider Name (Legal Business Name): DAVID JOHN PINTO C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE. 1131
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

921 IDLEWOOD CIR
EL SOBRANTE CA
94803-1153
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6732
  • Fax: 916-734-6734
Mailing address:
  • Phone: 916-995-2762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: