Provider Demographics
NPI:1265688592
Name:SCURTI, DAVID J (CP, CO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:SCURTI
Suffix:
Gender:M
Credentials:CP, CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10388 ROCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2502
Mailing Address - Country:US
Mailing Address - Phone:916-527-8395
Mailing Address - Fax:530-390-5828
Practice Address - Street 1:10388 ROCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2502
Practice Address - Country:US
Practice Address - Phone:916-527-8395
Practice Address - Fax:530-390-5828
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter