Active NPI
Family Home Medical Inc
- Oxygen Equipment & Supplies (DME)
- Fair Oaks, CA
National Provider Identifier
1124176359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 59510
- Legal business name
- FAMILY HOME MEDICAL INC
- Practice address
- 5525 Dewey Drive
Suite 106a
Fair Oaks, CA 95628-3130 - Phone
- (916) 925-7009
- Fax
- (888) 577-6924
- NPI assigned
- Jan 5, 2007
- 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
- Scott Thomas Fix
- Title
- President and Ceo
- Phone
- (916) 925-7009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 59510 | CA | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 23663 | CA |
Addresses
Primary practice location
5525 Dewey Drive
Suite 106a
Fair Oaks, CA 95628-3130
Mailing address
PO Box 2597
Marysville, CA 95901-0009
Phone (916) 925-7009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02702F | Medicaid | CA | |
| 56024 | Other | CA | CA DHS/FDB |
National Provider Directory
National Provider DirectoryLocations
5525 Dewey Dr
Ste 106A
Fair Oaks, CA 95628
Phone (916) 925-7009
3991 N Freeway Blvd
Ste 110
Sacramento, CA 95834
Phone (916) 925-7009
1200 Market St
Ste A
Yuba City, CA 95991
Phone (530) 751-7900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396828800000",
"number": "1124176359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2597",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959010009",
"telephone_number": "916-925-7009",
"fax_number": "888-577-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 DEWEY DRIVE",
"address_2": "SUITE 106A",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283130",
"telephone_number": "916-925-7009",
"fax_number": "888-577-6924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2014-04-07",
"status": "A",
"authorized_official_last_name": "FIX",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "916-925-7009"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "59510",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "23663",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME02702F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DHS/FDB",
"identifier": "56024",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.