Active NPI
SMRT LLC
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 103041
- Legal business name
- SMRT LLC
- Practice address
- 5330 Carroll Canyon Rd Ste 120
San Diego, CA 92121-3758 - Phone
- (858) 755-7285
- Fax
- (858) 755-7243
- NPI assigned
- Oct 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
- Mr. Neil McKay, DME
- Title
- Owner
- Phone
- (858) 755-7285
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 103041 | CA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5330 Carroll Canyon Rd Ste 120
San Diego, CA 92121-3758
Mailing address
5330 Carroll Canyon Rd Ste 120
San Diego, CA 92121-3758
Phone (858) 755-7285
Other practice location 1
12231 S Eastern Ave Ste 140
Henderson, NV 89052-4415
Phone (702) 703-0155
Other practice location 2
12250 El Camino Real
Suite 140
San Diego, CA 92130-3076
Phone (858) 755-7285
Other practice location 3
3262 Holiday Ct Ste 104
LA Jolla, CA 92037-1811
Phone (858) 755-7285
Other practice location 4
3262 Holiday Ct Ste 204
LA Jolla, CA 92037-1811
Phone (858) 755-7285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9795438 | Medicaid | CA |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
3262 Holiday Ct
Ste 104
La Jolla, CA 92037
Phone (858) 755-7285
3262 Holiday Ct
Ste 204
La Jolla, CA 92037
Phone (858) 755-7285
12250 El Camino Real
Ste 140
San Diego, CA 92130
Phone (858) 755-7285
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- San Luis Obispo, CA
- NPI 1578181095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594339200000",
"number": "1124104146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 CARROLL CANYON RD STE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213758",
"telephone_number": "858-755-7285",
"fax_number": "858-755-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 CARROLL CANYON RD STE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213758",
"telephone_number": "858-755-7285",
"fax_number": "858-755-7243"
}
],
"practiceLocations": [
{
"address_1": "12231 S Eastern Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890524415",
"country_code": "US",
"telephone_number": "702-703-0155",
"fax_number": "866-416-0058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12250 El Camino Real",
"address_2": "SUITE 140",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921303076",
"country_code": "US",
"telephone_number": "858-755-7285",
"fax_number": "858-755-7243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3262 Holiday Ct Ste 104",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371811",
"country_code": "US",
"telephone_number": "858-755-7285",
"fax_number": "858-755-7243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3262 Holiday Ct Ste 204",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371811",
"country_code": "US",
"telephone_number": "858-755-7285",
"fax_number": "858-755-7243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SMRT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A",
"authorized_official_last_name": "MCKAY",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-755-7285",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DME"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "103041",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9795438",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.