NPIMap

Organization Active NPI

Livermore Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
National Provider Identifier
1013198662
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIVERMORE MEDICAL SUPPLIES
Practice address
3989 Foothills Blvd
Stuite 100
Roseville, CA 95747
Phone
(916) 788-1193
Fax
(916) 788-0982
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Mr. Stuart E Rothrock
Title
Owner
Phone
(916) 788-1193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

3989 Foothills Blvd
Stuite 100
Roseville, CA 95747

Mailing address

3989 Foothills Blvd
Ste 100
Roseville, CA 95747
Phone (916) 788-1193

Other names 1

  • LIVE-MORE MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Live-More Medical Supplies4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3989 Foothills Blvd
Ste 100
Roseville, CA 95747
Phone (916) 788-1193

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1013198662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 FOOTHILLS BLVD",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "916-788-1193",
            "fax_number": "916-788-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 FOOTHILLS BLVD",
            "address_2": "STUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "916-788-1193",
            "fax_number": "916-788-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-788-1193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE-MORE MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.