Organization Active NPI

R & C Corporation

  • Durable Medical Equipment & Medical Supplies
  • Glendora, CA
National Provider Identifier
1013950724
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
R & C CORPORATION
Doing business as
Puritan Medical Equipment & Supplies
Practice address
1728 S Bonnie Cove Ave
Glendora, CA 91740-6016
Phone
(626) 335-0842
Fax
(626) 335-0843
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Antonio B Rubio, RCP RRT
Title
President
Phone
(626) 335-0842

Specialties & licenses 1

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

Addresses

Primary practice location

1728 S Bonnie Cove Ave
Glendora, CA 91740-6016

Mailing address

1728 S Bonnie Cove Ave
Glendora, CA 91740-6016
Phone (626) 335-0842

Other identifiers 1

IdentifierTypeStateIssuer
DME01998FMedicaidCA

Other names 1

  • Puritan Medical Equipment & Supplies Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089976 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8628197175 Practice locations: San Dimas, CA

National Provider Directory

National Provider Directory

Locations

1728 Bonnie Cove Ave
Glendora, CA 91740
Phone (626) 335-0842

325 E Arrow Hwy
Ste 506
San Dimas, CA 91773
Phone (626) 484-5988

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1013950724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 S BONNIE COVE AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406016",
            "telephone_number": "626-335-0842",
            "fax_number": "626-335-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S BONNIE COVE AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406016",
            "telephone_number": "626-335-0842",
            "fax_number": "626-335-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & C CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-335-0842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01998F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puritan Medical Equipment & Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.