Organization Active NPI

Geoffery Odega

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
National Provider Identifier
1114090693
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45855 Issued in CA
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

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.