Organization Active NPI

Invictus Scientific, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1023044617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INVICTUS SCIENTIFIC, INC.
Practice address
11760 Sorrento Valley Rd
Suite G
San Diego, CA 92121-1018
Phone
(858) 481-8485
Fax
(858) 481-8472
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffery Alan Konecke
Title
President
Phone
(858) 481-8485

Specialties & licenses 1

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

Addresses

Primary practice location

11760 Sorrento Valley Rd
Suite G
San Diego, CA 92121-1018

Mailing address

11760 Sorrento Valley Rd
Suite G
San Diego, CA 92121-1018
Phone (858) 481-8485

National Provider Directory

National Provider Directory

Locations

11760 Sorrento Valley Rd
Ste G
San Diego, CA 92121
Phone (858) 481-8485

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023044617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SORRENTO VALLEY RD",
            "address_2": "SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211018",
            "telephone_number": "858-481-8485",
            "fax_number": "858-481-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SORRENTO VALLEY RD",
            "address_2": "SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211018",
            "telephone_number": "858-481-8485",
            "fax_number": "858-481-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS SCIENTIFIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONECKE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-481-8485",
        "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": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.