Organization Active NPI

Guardian Angel's Medical Supply,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Los Banos, CA
National Provider Identifier
1093052706
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.