Organization Active NPI

LC Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Tulare, CA
National Provider Identifier
1063522902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LC MEDICAL SERVICES
Practice address
236 E King Ave
Tulare, CA 93274-4110
Phone
(559) 686-1288
Fax
(559) 686-2553
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Larry Ruiz Costales
Title
Owner
Phone
(559) 686-1288

Specialties & licenses 1

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

Addresses

Primary practice location

236 E King Ave
Tulare, CA 93274-4110

Mailing address

236 E King Ave
Tulare, CA 93274-4110
Phone (559) 686-1288

National Provider Directory

National Provider Directory

Locations

236 E King Ave
Tulare, CA 93274
Phone (559) 686-1288

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063522902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E KING AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744110",
            "telephone_number": "559-686-1288",
            "fax_number": "559-686-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E KING AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744110",
            "telephone_number": "559-686-1288",
            "fax_number": "559-686-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTALES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RUIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-686-1288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.