NPIMap

Organization Active NPI

Three Wishes Inc

  • Durable Medical Equipment & Medical Supplies
  • Temecula, CA
National Provider Identifier
1114016896
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THREE WISHES INC
Practice address
43084 Rancho Way
Suite B
Temecula, CA 92590-3487
Phone
(951) 694-8708
Fax
(951) 694-8769
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dennis William Karnes
Title
President
Phone
(800) 535-3063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

43084 Rancho Way
Suite B
Temecula, CA 92590-3487

Mailing address

2390 Crenshaw Blvd
#128
Torrance, CA 90501-3300
Phone (800) 535-3063

Other identifiers 4

IdentifierTypeStateIssuer
100452040AMedicaidKS
4582266MedicaidTN
806665400MedicaidID
2003865804MedicaidIN

Other names 1

  • THREE WISHES INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Three Wishes Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1114016896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 CRENSHAW BLVD",
            "address_2": "#128",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013300",
            "telephone_number": "800-535-3063",
            "fax_number": "800-270-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43084 RANCHO WAY",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903487",
            "telephone_number": "951-694-8708",
            "fax_number": "951-694-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WISHES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-535-3063"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452040A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582266",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806665400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003865804",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE WISHES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.