Organization Active NPI

Integrated Healthcare Services

  • Durable Medical Equipment & Medical Supplies
  • Fullerton, CA
National Provider Identifier
1124225883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47109 Issued in CA
Legal business name
INTEGRATED HEALTHCARE SERVICES
Practice address
377 S Acacia Ave
Fullerton, CA 92831-4748
Phone
(866) 627-3907
Fax
(866) 627-3908
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James W. Snow
Title
Owner
Phone
(866) 627-3907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 47109 CA Primary

Addresses

Primary practice location

377 S Acacia Ave
Fullerton, CA 92831-4748

Mailing address

377 S. Acacia Avenue
Fullerton, CA 92831
Phone (866) 627-3907

Other identifiers 1

IdentifierTypeStateIssuer
47109OtherCAHOME MEDICAL DEVICE LICEN

National Provider Directory

National Provider Directory
Tax ID family
Integrated Healthcare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

377 S Acacia Ave
Fullerton, CA 92831
Phone (866) 627-3907

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124225883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 S. ACACIA AVENUE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "866-627-3907",
            "fax_number": "866-627-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 S ACACIA AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314748",
            "telephone_number": "866-627-3907",
            "fax_number": "866-627-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-627-3907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE LICEN",
            "identifier": "47109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.