Dr. Courtney Anne Vito, MD
Surgery in Fullerton, CA. Individual provider (NPI-1).
NPI number1174763643
StatusActive
Last updated in NPPESApr 11, 2022
Details
- NPI
- 1174763643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Courtney Anne Vito
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2009
- Certification date
- Apr 11, 2022
- Last updated
- Apr 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A108301 | CA | Yes |
| 208600000X | Surgery | 17320 | NV |
Other names
- Courtney Anne Severino (Former Name)
Practice location
2141 N Harbor Blvd Ste 33001Fullerton, CA 92835-3827
Phone 714-446-5296 · Fax 714-665-4690
Mailing address
2141 N Harbor Blvd Ste 33001Fullerton, CA 92835-3827
Phone 714-446-5296 · Fax 714-665-4690
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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