Active NPI
Geoffery Odega
- Durable Medical Equipment & Medical Supplies
- Santa Ana, CA
National Provider Identifier
1114090693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 45855
- Legal business name
- GEOFFERY ODEGA
- Practice address
- 1905 E 17TH St
Ste 124
Santa Ana, CA 92705-8628 - Phone
- (714) 480-0098
- Fax
- (714) 480-0081
- NPI assigned
- Nov 15, 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
- Geoffery Odega
- Title
- Owner
- Phone
- (714) 480-0098
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 45855 | CA | Primary |
| Customized Equipment (DME) | 332BC3200X | 45855 | CA |
Addresses
Primary practice location
1905 E 17TH St
Ste 124
Santa Ana, CA 92705-8628
Mailing address
1905 E 17TH St
Ste 124
Santa Ana, CA 92705-8628
Phone (714) 480-0098
Other names 1
- JOY MEDICAL SUPPLIES
National Provider Directory
National Provider DirectoryLocations
1905 E 17th St
Ste 124
Santa Ana, CA 92705
Phone (714) 480-0098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1114090693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 E 17TH ST",
"address_2": "STE 124",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058628",
"telephone_number": "714-480-0098",
"fax_number": "714-480-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 E 17TH ST",
"address_2": "STE 124",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058628",
"telephone_number": "714-480-0098",
"fax_number": "714-480-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEOFFERY ODEGA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "ODEGA",
"authorized_official_first_name": "GEOFFERY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-480-0098"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "45855",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "45855",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JOY MEDICAL SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.