Organization Active NPI

SNF Oxygen Servicesllc

  • Oxygen Equipment & Supplies (DME)
  • Corona, CA
National Provider Identifier
1114039385
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SNF OXYGEN SERVICESLLC
Practice address
240 Ott St
N/a
Corona, CA 92882-1872
Phone
(951) 270-5207
Fax
(951) 898-9991
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ms. Gerry Sue Abacherli, N/A
Title
President
Phone
(951) 270-5207

Specialties & licenses 1

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

Addresses

Primary practice location

240 Ott St
N/a
Corona, CA 92882-1872

Mailing address

1107 Fair Oaks Ave
Ste 528
South Pasadena, CA 91030-3311
Phone (951) 270-5207

Other identifiers 1

IdentifierTypeStateIssuer
DME02250FMedicaidCA

National Provider Directory

National Provider Directory

Locations

240 Ott St
Corona, CA 92882
Phone (951) 270-5207

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1114039385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 FAIR OAKS AVE",
            "address_2": "STE 528",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303311",
            "telephone_number": "951-270-5207",
            "fax_number": "951-898-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 OTT ST",
            "address_2": "N/A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821872",
            "telephone_number": "951-270-5207",
            "fax_number": "951-898-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF OXYGEN SERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ABACHERLI",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-270-5207",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02250F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.