Active NPI
Socal Respiratory Care
- Durable Medical Equipment & Medical Supplies
- Santa Ana, CA
National Provider Identifier
1144701707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOCAL RESPIRATORY CARE
- Practice address
- 1509 W Alton Ave
Santa Ana, CA 92704-7219 - Phone
- (949) 410-1468
- NPI assigned
- Aug 22, 2018
- 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
- Edo Ganevic
- Title
- Coo
- Phone
- (949) 410-1468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1509 W Alton Ave
Santa Ana, CA 92704-7219
Mailing address
1509 W Alton Ave
Santa Ana, CA 92704-7219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190102002658 | CA | DME Supplier - Oxygen & Equipment | 1850636390 | Practice locations: Santa Ana, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Socal Respiratory Care | Commodes, Urinals, Bedpans|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Intermittent Positive Pressure Bre… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1509 W Alton Ave
Santa Ana, CA 92704
Phone (657) 231-6555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1144701707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 W ALTON AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 W ALTON AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047219",
"telephone_number": "949-410-1468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCAL RESPIRATORY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "GANEVIC",
"authorized_official_first_name": "EDO",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "949-410-1468"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.