Organization Active NPI

Family Home Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Fair Oaks, CA
National Provider Identifier
1124176359
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
59510 Issued in CA
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

Updated by the provider on Apr 7, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME02702FMedicaidCA
56024OtherCACA DHS/FDB

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.