Impakt Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IMPAKT MEDICAL, LLC

Practice address

1700 S El Camino Real Ste 204
San Mateo, CA 94402-3048

Phone

(650) 844-8801

Fax

(916) 436-9054

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Jason Bateh

Title

President

Phone

(916) 844-7800

Specialties & licenses 1

Addresses

Other names 1

• Impakt Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Impakt Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Pleasanton, CA
  • NPI 1306606231

  1759626476

  Same PAC ID
• Impakt Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Los Gatos, CA
  • NPI 1376143479

  1759626476

  Same PAC ID
• Impakt Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Santa Cruz, CA
  • NPI 1417429648

  1759626476

  Same PAC ID
• Impakt Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Fair Oaks, CA
  • NPI 1992299838

  1759626476

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Impakt Medical LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Impakt Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Pleasanton, CA
  • NPI 1306606231
  NPD tax ID
• Impakt Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Los Gatos, CA
  • NPI 1376143479
  NPD tax ID
• Impakt Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Santa Cruz, CA
  • NPI 1417429648
  NPD tax ID
• Impakt Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Fair Oaks, CA
  • NPI 1992299838
  NPD tax ID

Locations

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1093529463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 FAIR OAKS BLVD STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287039",
            "telephone_number": "408-480-5811",
            "fax_number": "916-436-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S EL CAMINO REAL STE 204",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023048",
            "telephone_number": "650-844-8801",
            "fax_number": "916-436-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAKT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BATEH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-844-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impakt Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in San Mateo, CA
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.