Millbrae Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME00543F Issued in CA

Legal business name

MILLBRAE MEDICAL SUPPLY, INC

Practice address

425 Old County Rd Ste C
Belmont, CA 94002-2500

Phone

(650) 593-2188

Fax

(650) 593-2044

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Oliver W Friedauer

Title

President

Phone

(650) 593-2188

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1013907468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OLD COUNTY RD STE C",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022500",
            "telephone_number": "650-593-2188",
            "fax_number": "650-593-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD COUNTY RD STE C",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022500",
            "telephone_number": "650-593-2188",
            "fax_number": "650-593-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBRAE MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "FRIEDAUER",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-593-2188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "DME00543F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER",
            "identifier": "DME00543F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Ann Meister
• Margine D. Mejia-Ruiz
• Elizabeth Mello
• Mental Health Association of San Mateo County - Belmont Studios
• Christine Meyer
• Ellese Miller
• Rayshon Mills
• Stephanie Christine Mirich, F.N.S
• Seerat Mission, D.O.
• Robert Mitchell

• Durable Medical Equipment & Medical Supplies in Belmont, CA
• Providers in Belmont, 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 Nov 19, 2013; 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.