Provider Demographics
NPI:1154577484
Name:VERA, STEVEN CHARLES (CO, CP)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHARLES
Last Name:VERA
Suffix:
Gender:M
Credentials:CO, CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 HOSPITAL DR
Mailing Address - Street 2:SUITE G-2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5406
Mailing Address - Country:US
Mailing Address - Phone:916-896-5702
Mailing Address - Fax:916-896-5703
Practice Address - Street 1:7600 HOSPITAL DR
Practice Address - Street 2:SUITE G-2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5406
Practice Address - Country:US
Practice Address - Phone:916-896-5702
Practice Address - Fax:916-896-5703
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist