Superior Med Surgical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMDR LICENSE # 51915 Issued in CA

Legal business name

SUPERIOR MED SURGICAL, INC.

Practice address

9445 Fairway View PL.
#100
Rancho Cucamonga, CA 91730

Phone

(909) 980-0065

Fax

(909) 980-0303

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Carmelita S. Amoranto

Title

Operation Manager

Phone

(909) 980-0065

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1073750949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N MOUNTAIN AVE",
            "address_2": "#201",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-980-0065",
            "fax_number": "909-980-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 FAIRWAY VIEW PL.",
            "address_2": "#100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-980-0065",
            "fax_number": "909-980-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MED SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "AMORANTO",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "909-980-0065"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "N/A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "HMDR LICENSE # 51915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR LICENSE",
            "identifier": "51915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.