Organization Active NPI

Edna M Augustine

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1104856111
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EDNA M AUGUSTINE
Practice address
6035 University Ave Ste 32
San Diego, CA 92115-6343
Phone
(619) 582-9819
Fax
(619) 582-9820
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Miss Edna M Augustine
Title
Owner
Phone
(619) 582-9819

Specialties & licenses 1

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

Addresses

Primary practice location

6035 University Ave Ste 32
San Diego, CA 92115-6343

Mailing address

6035 University Ave Ste 32
San Diego, CA 92115-6343
Phone (619) 582-9819

Other names 1

  • At-Home Care Systems Doing business as

National Provider Directory

National Provider Directory

Locations

6035 University Ave
Ste 32
San Diego, CA 92115
Phone (619) 582-9819

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1104856111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 UNIVERSITY AVE STE 32",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156343",
            "telephone_number": "619-582-9819",
            "fax_number": "619-582-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 UNIVERSITY AVE STE 32",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156343",
            "telephone_number": "619-582-9819",
            "fax_number": "619-582-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA M AUGUSTINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-582-9819",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At-Home Care Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.