Medical Supply Depot 2, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPPLY DEPOT 2, INC.

Practice address

840 S Imperial Ave
Suite B
Calexico, CA 92231-3116

Phone

(760) 768-3172

Fax

(760) 768-1578

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Norberto Barroga

Title

President

Phone

(760) 768-3172

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1043443369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S IMPERIAL AVE",
            "address_2": "SUITE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922313116",
            "telephone_number": "760-768-3172",
            "fax_number": "760-768-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S IMPERIAL AVE",
            "address_2": "SUITE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922313116",
            "telephone_number": "760-768-3172",
            "fax_number": "760-768-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY DEPOT 2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "BARROGA",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-768-3172"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly Veronica Martinez
• Perla Fabiola Martinez
• Sayra Matias
• Kimberly Maya
• Cova Lynn McNally, CATC-I
• Angela Marie Melendez, CAODC-6781
• Michelle Lynn Melendez, MD
• Ivan Armando Mendoza, EMT-P, PSGT
• Mervat G. Kelada, M.D.
• Mervat Kelada M D a Medical Corporation

• Durable Medical Equipment & Medical Supplies in Calexico, CA
• Providers in Calexico, 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 Sep 3, 2009; 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.