NPIMap

Organization Active NPI

Kadence Healthcare, Inc

  • Oxygen Equipment & Supplies (DME)
  • Cypress, CA
National Provider Identifier
1003889270
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
103823 Issued in CA
Legal business name
KADENCE HEALTHCARE, INC
Practice address
10840 Walker St
Cypress, CA 90630-5011
Phone
(714) 220-0071
Fax
(714) 484-6908
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mr. Greg D Kahn
Title
Ceo
Phone
(714) 220-0071

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103823 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 103823 CA
Oxygen Equipment & Supplies (DME) 332BX2000X 103823 CA Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

10840 Walker St
Cypress, CA 90630-5011

Mailing address

10840 Walker St
Cypress, CA 90630-5011
Phone (714) 220-0071

Other identifiers 1

IdentifierTypeStateIssuer
DME03248FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004871 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 0042420309 Practice locations: Cypress, CA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kadence Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7554 Trade St
San Diego, CA 92121
Phone (858) 563-6994

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1003889270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305011",
            "telephone_number": "714-220-0071",
            "fax_number": "714-484-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305011",
            "telephone_number": "714-220-0071",
            "fax_number": "714-484-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADENCE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-220-0071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103823",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "103823",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "103823",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03248F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.