Active NPI
Guardian Angel's Medical Supply,Inc.
- Durable Medical Equipment & Medical Supplies
- Los Banos, CA
National Provider Identifier
1093052706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GUARDIAN ANGEL'S MEDICAL SUPPLY,INC.
- Practice address
- 222 I St
Suite B
Los Banos, CA 93635-4132 - Phone
- (209) 826-2223
- Fax
- (209) 826-2242
- NPI assigned
- Jan 15, 2013
- Last updated
- Jun 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Diane Perry, R.N.
- Title
- Owner/Chief Executive Officer
- Phone
- (209) 489-9109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
222 I St
Suite B
Los Banos, CA 93635-4132
Mailing address
222 I St
Suite B
Los Banos, CA 93635-4132
Phone (209) 826-2223
National Provider Directory
National Provider DirectoryLocations
222 I St
Ste B
Los Banos, CA 93635
Phone (209) 826-2223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1093052706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 I ST",
"address_2": "SUITE B",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354132",
"telephone_number": "209-826-2223",
"fax_number": "209-826-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 I ST",
"address_2": "SUITE B",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354132",
"telephone_number": "209-826-2223",
"fax_number": "209-826-2242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGEL'S MEDICAL SUPPLY,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "209-489-9109",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.