Organization Active NPI

SMRT LLC

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1124104146
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103041 Issued in CA
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

Updated by the provider on Jul 10, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9795438MedicaidCA

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.