Organization Active NPI

Pulmocare Respiratory Services, Inc.

  • Oxygen Equipment & Supplies (DME)
  • San Diego, CA
National Provider Identifier
1053593137
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
53198 Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME02110FMedicaidCA

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.

Verify at the official NPI Registry.