NPIMap

Organization Active NPI

High Desert Medical & Sleep Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1114686276
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HIGH DESERT MEDICAL & SLEEP SUPPLIES, INC.
Practice address
360 W Bedford Ave Ste 111
Fresno, CA 93711-6889
Phone
(559) 412-2793
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Patrick J Costa
Title
Ceo
Phone
(559) 412-2793

Specialties & licenses 1

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

Addresses

Primary practice location

360 W Bedford Ave Ste 111
Fresno, CA 93711-6889

Mailing address

360 W Bedford Ave Ste 111
Fresno, CA 93711-6889
Phone (559) 412-2793

Other identifiers 2

IdentifierTypeStateIssuer
5960340001OtherCAMEDICARE NSC
1195937OtherCAMEDI-CAL SUPPLIER

Other names 1

  • High Desert Medical & Sleep Supplies, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
High Desert Medical Sleep Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1114686276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BEDFORD AVE STE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116889",
            "telephone_number": "559-412-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BEDFORD AVE STE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116889",
            "telephone_number": "559-412-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT MEDICAL & SLEEP SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-412-2793"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5960340001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL SUPPLIER",
            "identifier": "1195937",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Medical & Sleep Supplies, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.