Triad Medical Group, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45060 Issued in CA

Legal business name

TRIAD MEDICAL GROUP, INC.

Doing business as

Triad Medical Supply

Practice address

5346 Jackson Dr Ste B
La Mesa, CA 91942-6012

Phone

(619) 469-4421

Fax

(619) 469-4497

NPI assigned

Sep 13, 2006

Last updated

Jan 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Silva, R.N.

Title

President

Phone

(619) 469-4421

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TRIAD MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1053416149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 JACKSON DR STE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426012",
            "telephone_number": "619-469-4421",
            "fax_number": "619-469-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 JACKSON DR STE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426012",
            "telephone_number": "619-469-4421",
            "fax_number": "619-469-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-469-4421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03294F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIAD MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christine L Trigeiro, PH.D.
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• Durable Medical Equipment & Medical Supplies in La Mesa, CA
• Providers in La Mesa, 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 Jan 20, 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.