Maria Kay Cajulis, DME SUPPLIER

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

2954 Honolulu Ave
La Crescenta, CA 91214-3909

Phone

(818) 249-5007

Fax

(818) 279-2285

NPI assigned

Feb 5, 2008

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visiting Angels Patient Care Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1124206891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 HONOLULU AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143909",
            "telephone_number": "818-249-5007",
            "fax_number": "818-279-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 HONOLULU AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143909",
            "telephone_number": "818-249-5007",
            "fax_number": "818-279-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJULIS",
        "first_name": "MARIA",
        "middle_name": "KAY",
        "credential": "DME SUPPLIER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN, ALSO CALLED NSC PROVIDER NUMBER",
            "identifier": "6627630001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VISITING",
            "last_name": "PATIENT CARE",
            "middle_name": "ANGELS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.