WADE THOMAS SKARDOUTOS CP
NPI 1346427069
Prosthetist in Santa Clara, CA

Q: What is Wade Skardoutos's NPI number?

The NPI number for Wade Skardoutos is 1346427069. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Q: What is Wade Skardoutos's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Wade Skardoutos was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2008

3350 SCOTT BLVD STE 6301, 191 SAN FELIPE RD. STE M1 HOLLISTER, CA 95023, SANTA CLARA, CA 95054(408) 845-9245(408) 845-9259 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Wade Thomas Skardoutos Cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE THOMAS SKARDOUTOS CP (NPI 1346427069) is an individual prosthetist provider in Santa Clara, California, licensed in Michigan (CP003200) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1346427069

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameWADE THOMAS SKARDOUTOSCredential: CP

Location Address3350 SCOTT BLVD STE 6301, 191 SAN FELIPE RD. STE M1 HOLLISTER, CA 95023Santa Clara, CA 95054

Mailing Address3350 Scott Blvd Ste 6301Santa Clara, CA 95054-3125 · (408) 845-9245 · Fax (408) 845-9259

Phone(408) 845-9245

Fax(408) 845-9259

Sole ProprietorNo

Enumeration DateJanuary 24, 2008

Last NPPES UpdateJune 17, 2015

✔ NPI 1346427069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in MI · CP003200

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

3350 SCOTT BLVD STE 6301, Santa Clara, CA 95054

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Other Identifiers 2

Medicare NSC5579810001

Medicare NSC5579810002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Skardoutos's NPI number?

The NPI number for Wade Skardoutos is 1346427069. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Where is Wade Skardoutos located?

Wade Skardoutos practices at 3350 Scott Blvd Ste 6301 191 San Felipe Rd. Ste M1 Hollister, Ca 95023, Santa Clara, CA 95054. The listed phone number is (408) 845-9245.

What is Wade Skardoutos's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Wade Skardoutos was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.