Healthcare Provider Details

I. General information

NPI: 1265688592
Provider Name (Legal Business Name): DAVID J. SCURTI C.P, C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10388 ROCKINGHAM DR
SACRAMENTO CA
95827-2502
US

IV. Provider business mailing address

10388 ROCKINGHAM DR
SACRAMENTO CA
95827-2502
US

V. Phone/Fax

Practice location:
  • Phone: 916-527-8395
  • Fax: 530-390-5828
Mailing address:
  • Phone: 916-527-8395
  • Fax: 530-390-5828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: