Active NPI
Integrated Healthcare Services
- Durable Medical Equipment & Medical Supplies
- Fullerton, CA
National Provider Identifier
1124225883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 47109
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47109 | Other | CA | HOME MEDICAL DEVICE LICEN |
National Provider Directory
National Provider Directory- Tax ID family
- Integrated Healthcare Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1750653770
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.