Organization Active NPI

Socal Respiratory Care

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
National Provider Identifier
1144701707
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 22, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20190102002658 CA DME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 1850636390 Practice locations: Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Socal Respiratory Care1509 W Alton Ave, Santa Ana, CA 92704-7219(657) 231-6555 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 assignmentParticipating since Nov 5, 2018

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.