Organization Active NPI

The Spalding Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Santa Rosa, CA
National Provider Identifier
1083728877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100041 Issued in CA
Legal business name
THE SPALDING GROUP INC
Practice address
750 Mendocino Ave
#9
Santa Rosa, CA 95401
Phone
(707) 573-0302
Fax
(707) 573-0484
NPI assigned
Aug 18, 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. James Clifton Spalding
Title
President
Phone
(707) 573-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100041 CA Primary

Addresses

Primary practice location

750 Mendocino Ave
#9
Santa Rosa, CA 95401

Mailing address

750 Mendocino Ave
#9
Santa Rosa, CA 95401
Phone (707) 573-0302

Other identifiers 1

IdentifierTypeStateIssuer
DME01641FOtherCAMEDI CAL

Other names 1

  • Medical Dynamics Doing business as

National Provider Directory

National Provider Directory

Locations

750 Mendocino Ave
Ste 9
Santa Rosa, CA 95401
Phone (707) 573-0302

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083728877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MENDOCINO AVE",
            "address_2": "#9",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-573-0302",
            "fax_number": "707-573-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MENDOCINO AVE",
            "address_2": "#9",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-573-0302",
            "fax_number": "707-573-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPALDING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-573-0302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "DME01641F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Dynamics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, 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.