Active NPI
Biomed California, Inc.
- Specialty Pharmacy
- Inglewood, CA
National Provider Identifier
1013134113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- BIOMED CALIFORNIA, INC.
- Practice address
- 721 S Glasgow Ave
Ste C
Inglewood, CA 90301-3014 - Phone
- (310) 655-1121
- Fax
- (310) 665-1141
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew C Walk
- Title
- Ceo
- Phone
- (833) 765-3648
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
721 S Glasgow Ave
Ste C
Inglewood, CA 90301-3014
Mailing address
2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (833) 765-3648
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7720240 | Medicaid | CA | |
| 1995781 | Other | PK | |
| PHY58061 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
| LSC101664 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
| 2000783 | Medicaid | WA |
Other names 1
- Soleo Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081219000036 | CA | Part B Supplier - Pharmacy | 5092877423 | Practice locations: Inglewood, CA |
| O20100930070486 | CA | DME Supplier - Pharmacy | 5092877423 | Practice locations: Inglewood, CA |
| O20201222001321 | CA | Part B Supplier - Home Infusion Therapy Supplier | 5092877423 | Practice locations: Inglewood, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Biomed California Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Inglewood, CA
- NPI 1841665973
-
- Community/Retail Pharmacy
- Inglewood, CA
- NPI 1487852059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1013134113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 NETWORK BLVD STE 505",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341895",
"telephone_number": "833-765-3648",
"fax_number": "603-718-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S GLASGOW AVE",
"address_2": "STE C",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903013014",
"telephone_number": "310-655-1121",
"fax_number": "310-665-1141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOMED CALIFORNIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "WALK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "833-765-3648"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7720240",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1995781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "PHY58061",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "LSC101664",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2000783",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Soleo Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Soleo Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.