Organization Active NPI

R. a. Medical Company

  • Oxygen Equipment & Supplies (DME)
  • Ukiah, CA
National Provider Identifier
1043316771
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
R. A. MEDICAL COMPANY
Practice address
407 E Perkins St
Ukiah, CA 95482-4506
Phone
(707) 463-0160
Fax
(707) 463-0532
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Noble Frederick Waidelich Sr., R.R.T.
Title
Partner
Phone
(707) 463-0160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X CA Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

407 E Perkins St
Ukiah, CA 95482-4506

Mailing address

407 E Perkins St
Ukiah, CA 95482-4506
Phone (707) 463-0160

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ97844ZOtherBLUE SHIELD
DME00294HMedicaidCA

National Provider Directory

National Provider Directory

Locations

407 E Perkins St
Ukiah, CA 95482
Phone (707) 463-0160

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043316771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E PERKINS ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824506",
            "telephone_number": "707-463-0160",
            "fax_number": "707-463-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E PERKINS ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824506",
            "telephone_number": "707-463-0160",
            "fax_number": "707-463-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. A. MEDICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WAIDELICH",
        "authorized_official_first_name": "NOBLE",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "707-463-0160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "R.R.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ97844Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00294H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.