Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Courtney Anne Vito, MD

Individual provider Surgery Physician · NPI 1174763643

Dr. Courtney Anne Vito, MD is a General Surgery in Fullerton, California. Graduated from Emory University School of Medicine in 2004, 22 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
22
Trained at
Emory University School of Medicine
Licensed in
CA, NV
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2141 N Harbor Blvd Ste 33001
Fullerton, CA 92835-3827
Phone: (714) 446-5296
Fax: (714) 665-4690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A108301 (CA)
Surgery Physician Taxonomy 208600000X · Licence 17320 (NV)

Record details

NPI number1174763643
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2009
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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