Active NPI
Abigail'S Medical Supply Inc
- Mastectomy Fitter
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Legal business name
- ABIGAIL'S MEDICAL SUPPLY INC
- Practice address
- 2020 Camino del Rio N Ste 105
San Diego, CA 92108-1542 - Phone
- (760) 940-1132
- Fax
- (760) 940-1134
- NPI assigned
- Feb 19, 2020
- Organization subpart
- Yes
- Parent organization
- ABIGAIL'S MEDICAL SUPPLIES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abigail Jones Newsome
- Title
- Ceo
- Phone
- (760) 940-1132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | Primary |
Addresses
Primary practice location
2020 Camino del Rio N Ste 105
San Diego, CA 92108-1542
Mailing address
2020 Camino del Rio N Ste 105
San Diego, CA 92108-1542
Phone (760) 940-1132
National Provider Directory
National Provider Directory- Part of
- Abigail'S Medical Supply Inc
Locations
3837 Plaza Dr
Ste 801
Oceanside, CA 92056
2020 Camino del Rio N
Ste 105
San Diego, CA 92108
Phone (619) 220-7090
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Oceanside, CA
- NPI 1427507383
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Oceanside, CA
- NPI 1902972078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582070400000",
"number": "1053944827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CAMINO DEL RIO N STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081542",
"telephone_number": "760-940-1132",
"fax_number": "760-940-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CAMINO DEL RIO N STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081542",
"telephone_number": "760-940-1132",
"fax_number": "760-940-1134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIGAIL'S MEDICAL SUPPLY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ABIGAIL'S MEDICAL SUPPLIES, INC.",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "JONES NEWSOME",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-940-1132"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.