NPIMap

Organization Active NPI

JT Medical Supply Corporation

Doing business as JT Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Castro Valley, CA
National Provider Identifier
1063443943
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45340 Issued in CA
Legal business name
JT MEDICAL SUPPLY CORPORATION
Doing business as
JT Medical Supplies
Practice address
20980 Redwood Rd
Suite 260
Castro Valley, CA 94546-5930
Phone
(510) 300-1330
Fax
(510) 300-1336
NPI assigned
Jul 6, 2006
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Mr. Mark Recio Parinas, RN, PHN
Title
General Manager
Phone
(510) 300-1336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 45340 CA Primary

Addresses

Primary practice location

20980 Redwood Rd
Suite 260
Castro Valley, CA 94546-5930

Mailing address

20980 Redwood Rd
Suite 260
Castro Valley, CA 94546-5930
Phone (510) 300-1330

Other names 1

  • JT Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CVH Medical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20980 Redwood Rd
Ste 260
Castro Valley, CA 94546
Phone (510) 300-1330

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1063443943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20980 REDWOOD RD",
            "address_2": "SUITE 260",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465930",
            "telephone_number": "510-300-1330",
            "fax_number": "510-300-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20980 REDWOOD RD",
            "address_2": "SUITE 260",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465930",
            "telephone_number": "510-300-1330",
            "fax_number": "510-300-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT MEDICAL SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "PARINAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RECIO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "510-300-1336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, PHN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JT Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.