Organization Active NPI

Merced Medical Supply Inc

  • Oxygen Equipment & Supplies (DME)
  • Merced, CA
National Provider Identifier
1063696284
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
47559 Issued in CA
Legal business name
MERCED MEDICAL SUPPLY INC
Practice address
1827 Canal St
Merced, CA 95340-4812
Phone
(209) 722-3832
Fax
(209) 722-2779
NPI assigned
Dec 24, 2007
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Ms. Lori Ferriera, R.T. RCP
Title
Vice President
Phone
(209) 312-1729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 47559 CA Primary

Addresses

Primary practice location

1827 Canal St
Merced, CA 95340-4812

Mailing address

1827 Canal St
Merced, CA 95340-4812
Phone (209) 722-3832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930019163 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7719178995 Practice locations: Merced, CA

National Provider Directory

National Provider Directory
Tax ID family
Merced Medical Supply Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1063696284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 CANAL ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404812",
            "telephone_number": "209-722-3832",
            "fax_number": "209-722-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 CANAL ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404812",
            "telephone_number": "209-722-3832",
            "fax_number": "209-722-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "FERRIERA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "209-312-1729",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.T.    RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "47559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.