Medidon, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00002005 Issued in CA

Legal business name

MEDIDON, LLC

Practice address

333 Cobalt Way
Suite 103
Sunnyvale, CA 94085-5402

Phone

(408) 331-5196

Fax

(408) 328-8201

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jean A Blair, CRTT

Title

Manager

Phone

(408) 331-5196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1073784963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COBALT WAY",
            "address_2": "SUITE 103",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855402",
            "telephone_number": "408-331-5196",
            "fax_number": "408-328-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COBALT WAY",
            "address_2": "SUITE 103",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855402",
            "telephone_number": "408-331-5196",
            "fax_number": "408-328-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-331-5196",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "00002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha S. McGee, ACSW
• Irene McGhee, MD
• Natalie Ann McKelvey, LCSW
• Meghan McKenna, FNP
• Caitlin McNerney
• Sajid Mehmood, M.D.
• Niyati Mehra
• Dipa Nirav Mehta, DDS
• Nirav Mehta, D.D.S.
• Lisa Marie Mei, L.A.C

• Durable Medical Equipment & Medical Supplies in Sunnyvale, CA
• Providers in Sunnyvale, 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 Mar 18, 2008; 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.