Active NPI
Pulmocare Respiratory Services, Inc.
- Oxygen Equipment & Supplies (DME)
- San Diego, CA
National Provider Identifier
1053593137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 53198
- Legal business name
- PULMOCARE RESPIRATORY SERVICES, INC.
- Practice address
- 9353 Activity Rd
Suite F
San Diego, CA 92126-4412 - Phone
- (858) 547-9100
- Fax
- (909) 777-5005
- NPI assigned
- Nov 30, 2007
- Organization subpart
- Yes
- Parent organization
- PULMOCARE RESPIRATORY SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce E Gingles
- Title
- Chief Executive Officer
- Phone
- (909) 777-5000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 100577 | CA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 53198 | CA | Primary |
Addresses
Primary practice location
9353 Activity Rd
Suite F
San Diego, CA 92126-4412
Mailing address
PO Box 721
Colton, CA 92324-0721
Phone (909) 777-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02110F | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Pulmocare Respiratory Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1053593137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721",
"city": "COLTON",
"state": "CA",
"postal_code": "923240721",
"telephone_number": "909-777-5000",
"fax_number": "909-777-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 ACTIVITY RD",
"address_2": "SUITE F",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264412",
"telephone_number": "858-547-9100",
"fax_number": "909-777-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMOCARE RESPIRATORY SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PULMOCARE RESPIRATORY SERVICES, INC.",
"enumeration_date": "2007-11-30",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "GINGLES",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "909-777-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "100577",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "53198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME02110F",
"state": "CA"
}
],
"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 Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.