J & J Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

J & J MEDICAL SUPPLY, INC.

Practice address

10373 Trademark St
Suite I
Rancho Cucamonga, CA 91730-5862

Phone

(888) 291-9830

Fax

(888) 429-2741

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Jairo Gonzalez

Title

President

Phone

(888) 291-9830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1083869119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 TRADEMARK ST",
            "address_2": "SUITE I",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305862",
            "telephone_number": "888-291-9830",
            "fax_number": "888-429-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 TRADEMARK ST",
            "address_2": "SUITE I",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305862",
            "telephone_number": "888-291-9830",
            "fax_number": "888-429-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-291-9830"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2012; 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.