Active NPI
SNF Oxygen Servicesllc
- Oxygen Equipment & Supplies (DME)
- Corona, CA
National Provider Identifier
1114039385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02250F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.