1801267091 NPI number — VOTC, INC.

Table of content: DR. SARA INES DEVER MD (NPI 1992990535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801267091 NPI number — VOTC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VOTC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801267091
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3648 EL PORTAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDDING
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
96002-3133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7198 BOHN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANDERSON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96007-9507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-365-1356
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LUCARELLI
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
530-722-1114

Provider Taxonomy Codes

  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)