Anthony C Ingalla

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

31063 Issued in CA

Legal business name

ANTHONY C INGALLA

Practice address

14816 Central Ave
Chino, CA 91710-9509

Phone

(888) 964-9475

Fax

(888) 747-9645

NPI assigned

Mar 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony C Ingalla

Title

President

Phone

(888) 964-9475

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dependable Medical Systems Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1003883059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14816 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109509",
            "telephone_number": "888-964-9475",
            "fax_number": "888-747-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14816 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109509",
            "telephone_number": "888-964-9475",
            "fax_number": "888-747-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY C INGALLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "INGALLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-964-9475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "31063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01969F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dependable Medical Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Chino, CA
• Providers in Chino, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.